The Advanced Registered Nurse Practitioner asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?”

The Advanced Registered Nurse Practitioner asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?” to assess for which of the following diagnoses?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder (dysthymia)

The ARNP asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?” to assess for which of the following diagnoses?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder (dysthymia)

Applied behavioral analysis is typically indicated for which of the following disorders?

A .

Anxiety disorder

B .

Depressive disorder

C .

Autism spectrum disorder

D .

Oppositional defiant disorder

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Which of the following is true regarding prescribing guidelines?

A .

Prescribing guidelines have formal legal status

B .

Guidelines are intended to apply to every individual for consistency and safety.

C .

The prescriber, not the prescribing guideline, has responsibility for the treatment.

D .

The prescriber following the prescribing guidelines will be legally protected if there is an adverse response to the treatment.

ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?

A .

Ages 0–5

B .

Ages 6– 12

C .

Ages 13– 18

D .

Ages 18+

Which of the following is inconsistent with what is known about prolonged sleep deprivation?

A .

Prolonged sleep deprivation leads to death.

B .

Prolonged sleep deprivation leads to severe physical impairment.

C .

Prolonged sleep deprivation leads to severe cognitive impairment.

D .

Prolonged sleep deprivation while annoying and frustrating is not life threatening.

When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?

A .

Become a surrogate decision maker for the patient.

B .

Consult a formally-designated surrogate for patient choices.

C .

Make safe choices for the patient based on the nurse’s beliefs and values.

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D .

Continue to support all the patient’s choices until a surrogate can be found.

Which of the following is not consistent with the purpose of The ANA’s Code of Ethics for Nurses?

A .

It is a succinct statement of the ethical values, obligation, duties, and professional ideals of nurses individually and collectively.

B .

It is the profession’s non-negotiable ethical standard.

C .

It is an expression of nursing’s own understanding of its commitment to society.

D .

It clearly determines how ethical obligations of nurses are met.

Which of the following medications is approved by the FDA for treatment of excessive sleepiness in narcolepsy?

A .

Lisdexamfetam ine

B .

Desmopressin

C .

Pitolisant

D .

Ramelteon

Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features?

A .

Psychosis

B .

Weight loss

C .

Severe anhedonia

D .

B and C

Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

A Bipolar I Disorder is more prevalent in men

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.

B .

Bipolar I Disorder is more prevalent in women

C .

Manic episodes are more prevalent in women.

D .

Bipolar I Disorder has equal prevalence among men and women.

Psychotherapy is an important treatment strategy for young people for which of the following reasons? Check all that apply. A .

Psychotherapy is almost always the safest treatment option.

B .

Psychotherapy has the least potential for adverse effects.

C .

Psychotherapy has shown superior efficacy over psychotropic medications.

D .

When a person attributes behavior changes to their own actions the behavior is more enduring.

When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?

A .

Sensory impairment

B .

Intellectual disability

C .

Substance use disorder

D .

Mood or anxiety disorder

When evaluating a child who is sad and withdrawn the clinician asks, “Did all your symptoms seem to start with fatigue?” in screening for which of the following diagnostic categories?

A .

Abuse

B .

Bullying

C .

Medical conditions

D .

Persistent depressive disorder (dysthymia)

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Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A .

Hypnagogic

B .

Hypnopompic

C .

Complex hallucinations

D .

Paranormal hallucinations

Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective disorder)?

A .

Fluoxetine

B .

Quetiapine

C .

Sertraline

D .

Bupropion HCL extended-release

A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis?

A .

Bipolar II Disorder

B .

Cyclothymic Disorder

C .

Bipolar I Disorder, mixed episode

D .

Bipolar I Disorder, cyclothymic type

According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?

A .

Integrity

B .

Justice

C Beneficence

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.

D .

Nonmalefice nce

The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which of the following ethical issues? A .

Fidelity

B .

Autonomy

C .

Beneficence

D .

Nonmalefice nce

Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior?

A .

Bulimia nervosa

B .

Anorexia nervosa

C .

Binge eating disorder

D .

Night eating syndrome

The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation? A .

These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child

B .

These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.

C .

Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.

D .

There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

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Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?

A .

Sertraline

B .

Fluoxetine

C .

Fluvoxamine

D .

Clomipramine

A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?

A .

Group CBT

B .

Trauma-Focused CBT

C .

Motivational Interviewing

D .

Dialectical-behavioral therapy

Manic episodes are considered distinct when they are separated by what length of time without significant symptoms of mania or hypomania.?

A .

2 weeks

B .

1 month

C .

2 months

D .

3 months

Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?

A .

Ropinirole

B Modafinil

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. C .

Pramipexole

D .

Gabapentin enacarbil

The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder

A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following?

A .

Sleep state misperception

B .

Psychophysiological insomnia

C .

Persistent insomnia

D .

Non-organic insomnia

Which of the following is NOT consistent with the code of ethics for the nursing profession?

A .

A code of ethics for the nursing profession informs every aspect of the nurse’s life.

B .

A code of ethics makes explicit the primary obligations of the nursing profession.

C .

A code of ethics addresses the values and ideals of the nursing profession.

D .

B and C only

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Which of the following medications are approved by the FDA for treating obsessive- compulsive disorder in children ages 10–17? Check all that apply.

A .

Sertraline

B .

Fluoxetine

C .

Fluvoxamine

D .

Clomipramine

A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following?

A .

Bipolar II Disorder

B .

Dysthymic Disorder

C .

Cyclothymic Disorder

D .

Bipolar I Disorder, hypomanic type

Which of the following hormone levels is increased in anorexia nervosa?

A .

Corticotrophin-releasing hormone (CRH)

B .

Luteinizing hormone (LH)

C .

Follicle-stimulating hormone (FSH)

D .

Thyroid-stimulating hormone (TSH)

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