Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
examination is significant for an inability to stack two blocks or draw a circle. The PMHNP
also appreciates the inability to attend to any task for more than a few seconds. These
findings indicate an abnormality in:
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
best approach to this finding is to consider that:
B
Jason is a 17-month-old male who is referred for evaluation of an unusually high level of
irritability. His mother says he cries “all the time,” and sometimes he just cannot be
comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child
psychiatry. Comprehensive assessment of Jason’s irritability should include all the following
except:
1
A Social relatedness
.
B Thought process and
.
content
C Motor behavior
.
D Judgment and insight
.
A This is most consistent with early-onset
.
schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young
.
children
D Comprehensive psychiatric assessment is
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