01 Oct Which of the following is NOT consistent with the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
Which of the following is NOT consistent with the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
A The developmental perspective should always be incorporated into the child and .adolescent provider’s considerations and actions.
BThe child/adolescent psychiatry’s primary concerns are the welfare, functioning, and .optimal development of children.
CThe child/adolescent psychiatry provider should seek to avoid all actions that may .have a detrimental effect on optimum child/adolescent behavior.
DThe right of consent to treatment belongs to the individual child/adolescent of minor .age.
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.
DProlonged sleep deprivation while annoying and frustrating is not life threatening.
Which of the following actions would NOT be recommended when working with a child who is the victim of bullying?
A Instruct the child to stay near adults
B Coach the child to avoid places where bullying happens
C Tell the child to walk away when bullying occurs and tell a trusted adult
DEncourage the child to confront the bully or bully the person back until the bullying stops
Which of the following medications is approved by the FDA for treatment of enuresis?
A Tofranil
B Zolpidem
C Solriamfetol
D Rotigotine patch
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
When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories?
A Safety
B Bullying
C Conduct disorder
D Oppositionaldefiant disorder
Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
A Aripiprazole (Abilify)
B Ziprasidone (Geodon)
C Haloperidol (Haldol)
D Risperidone (Risperdal)
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 are approved by the FDA for treating Bipolar Depression in children ages 10–17?
A Duloxetine
B Lurasidone
C Aripiprazole
DEscitalopram .
Which of the following are medical complications NOT associated with anorexia nervosa?
A Tachycardia
B Bradycardia
C Hypotension
DHypothermia
When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic categories?
A Adjustment disorder with depressed mood
B Substance abus
C Disruptive mood dysregulatio
DPosttraumatic stress disorder
Which of the following may be symptoms of depression in children?
A School phobia
B Excessive clinging to parents
C Preferring to spend time with friendsfrom school
D A andB
A way for a caregiver and young child to re-establish the enjoyment of each other’s company is known as which of the following psychosocial interventions?
A Time-out
B Special time
C Behavioral activation
D Functional analysisof behavior
Which of the following patients have the right to refuse treatment? Check all that apply. A A patient who is psychotic
B A patient who has been declared incompetent by a civil authority and mandated to .treatment
C A patient who been involuntarily admitted to an acute inpatient psychiatric unit on anemergency hold
D None of theabove
Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep?
A Stage 1
B Stage 2
C Stage 3
DStage 4
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
DClomipramine
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
n evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic possibility?
A Anxiety disorder
B Adjustment disorder
C Conversion disorder
D Abuseor maltreatment
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
B Bipolar I Disorder is more prevalent inwomen
C Manic episodes are more prevalent inwomen.
DBipolar I Disorder has equal prevalence among men and women.
Depression is frequently under recognized in the elderly population due to which of the following reasons? Check all that apply.
A Depression is less common in the older adult than in the general population.
BOlder persons with depression often present with more somatic complaints.
CProviders/clinicians may accept depressive symptoms as normal in older individuals.
D All of theabove
When evaluating a child who is worried or anxious, which of the following diagnostic categories should first be considered?
A Trauma
B Separation anxiety disorder
C Generalized anxiety disorder
D Obsessive-compulsivedisorder
Strategies that enhance therapeutic engagement include which of the following?
A Engage the child/adolescent in a manner to encourage them feeling noticed, heard, .and appreciated.
B Make sure that the parent/caregiver is always in the room.
C Start off with targeted diagnostic questions to save time.
DAlways take the child/adolescent’s side if there is disagreement with caregiver. .
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
Which of the following medications has been extensively studied for use in children and is FDA approved for use in children ≥ 13 for schizophrenia; ≥ 10 for bipolar mania; and ≥ 5 for autism irritability?
A Aripiprazole (Abilify)
B Quetiapine (Seroquel)
C Ziprasidone (Geodon)
D Risperidone (Risperdal)
A clinical course of one or more manic episodes and sometimes major depressive episodes is consistent with which of the following diagnoses?
A Bipolar II Disorder
B Bipolar I Disorder
C Cyclothymic Disorder
D Major Depressive Episode
A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with which of the following diagnoses?
A Dysthymia
B Cyclothymia
C Major Depression, subacute, recurrent
D Bipolar IIdisorder
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
A patient presents reporting a history of depressive episodes which typically occur every winter, you recognize this is most likely which of the following?
A Cyclothymia
B Bipolar II Disorder
C Intermittent Dysthymia
DMajor Depressive Disorder with seasonal
.pattern
Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?
A Sertraline
B Fluoxetine
C Fluvoxamine
DClomipramine
Universal sleep hygiene would NOT include which of the following?
A Getting adequate exercise
B Avoid heavy meals before bedtime
C Consistent bedtime and arousal time
D Only go to bed when you are actually feeling sleepy
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+
The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?
A Depression
B Social phobia
C Schizophrenia
DObsessive-compulsive disorder
Which of the following is true about educating children and their families about their diagnosed mental health disorder?
A There is an inherent desire to better understand problems.
B It is important to focus on understanding the stigma of mental health.
C It is important to connect the specific diagnosis with the recommended treatment.
D A and C
Time-consuming internal repetitions of unwanted thoughts and or a persistent focus on repeating specific types of behaviors or mental acts are symptoms consistent with which of the following diagnoses?
A Bipolar disorder
B Major depressive disorder
C Generalized anxiety disorder
D Obsessive-compulsive disorder
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
Reasons for the underuse of specific mental health treatments during childhood include which of the following?
A Stigma associated with mental health
B Poor problem recognition
C Limited availability of mental healthspecialists
D All of theabove
Identifying opportunities to improve which of the following is likely to improve the health of children?
A Recognition of mental distress
B Screening for mental distress
C Education about mental health treatment
D All of theabove
Which of the following SSRIs is a first line treatment for depression in children?
A Paroxetine (Paxil)
B Fluoxetine (Prozac)
CCitalopram (Celexa)
D Sertraline (Zoloft)
When assessing suicidality in adolescents which of the following is recommended?
A Only assess for suicidality if you suspect this may be a problem.
B Assess for suicidality when you are alone with the adolescent.
C Assess for suicidality while meeting with the adolescent and parents together.
DWait for the adolescent to bring the issue of suicidality up to avoid giving .them the idea.
Which of the following medications are approved by the FDA for treatment Bipolar Disorder in children ages 10 – 17?
A Lithium
B Olanzapine
C Aripiprazole
DClomipramine
Applied behavioral analysis is typically indicated for which of the following disorders?
A Anxiety disorder
B Depressive disorder
C Autism spectrum disorder
D Oppositionaldefiant disorder
The strongest predictors of a future suicide completion include which of the following? Check all that apply.
A An active mood disorder
B A history of suicide attempts
C Current substance use disorder
D A family history of suicidalbehaviors
Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?
A Ages 0–5
B Ages 6– 12
C Ages 13– 18
D Ages 18+
A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.
A Motivational interviewing
B Dialectical-behavioral therapy
C Cognitive behavioral therapy .(CBT)
D Behavioralmanagement training
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 HCLextended-.release
Which of the following medications is FDA approved for the treatment of bulimia?
A Tofranil
B Flurazepam
C Fluoxetine
DArmodafi nil
The clinician asks the child who is being seen for labile mood “Have you felt really down depressed or uninterested in things you used to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories?
A Suicidality
B Bipolar disorder
C Major depressive disorder
D Disruptive mood dysregulation disorder
According the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics, the provider is obligated when providing care to which of the following individuals?
A The child or adolescent
B The child/adolescent’s guardian(s)
C Only the guardian(s) for children under 7
D A andB
A strategy by which caregivers shape a young child’s behavior through selective and temporary removal of that child’s access to desired attention, activities, or other reinforcements following a behavioral transgression is known as which of the following?
A Time-out
B Special time
C Behavioral activation
D Functional analysisof behavior
When evaluating a child who is sad and withdrawn, the clinician should first consider which of the following diagnostic categories?
A Self-harm
B Substance use disorder
C Major depressive disorder
DAdjustment disorder with depressed mood
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)
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
The right to assent of dissent from treatment for a child or adolescent is reflected in which of the following American Academy of Child and Adolescent Psychiatry ethical issues?
A Fidelity
B Autonomy
C Beneficence
DNonmaleficence
The APRN would recommend which of the following be included in a post-crisis plan?
A Keep up regular routines
B Maintain a “low-key” atmosphere
C Follow typical house rules but pick your battles
D All theabove
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
Question 51
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
DNonmaleficence
Question 52 Ethical questions about what we “ought” to do or be are addressed within which domainethics?
A Metaethics
B Applied ethics
C Normative ethics
DNone of the above as this is not an ethical question
Question 53 The most powerful predictors of the onset of a depressive episode is which of the following?
A Resent stressful events
BPersons with antisocial personality disorder
CPersons with paranoid personality disorder
DPerson with borderline personality disorder
Question 54 Attempts to influence providers through use of dinners, gifts, educational opportunities, and medication samples provide a conflict from which of the following American Academy of Child and Adolescent Psychiatry ethical perspectives?
A Fidelity
B Autonomy
C Beneficence
DNonmaleficence
Question 55
Which of the following SSRIs is a first line treatment for depression in children?
AParoxetine (Paxil)
BFluoxetine (Prozac)
CCitalopram (Celexa)
DSertraline (Zoloft)
Question 56 When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic categories?
AAdjustment disorder with depressed mood
B Substance abus
C Disruptive mood dysregulatio
D Posttraumatic stress disorder
Question 57 The ARNP asks the teenager, who according to parents has been extremely moody, “Have you been using drugs or alcohol?” to assess for which of the following diagnostic possibilities?
ASubstance use disorder .
B Major depressive disorder .
CGeneralized anxiety disorder .
D Posttraumatic stress disorder
Question 58 Which of the following are medical complications NOT associated with anorexia nervosa?
ATachycardia
BBradycardia
CHypotension
DHypothermia
Question 59 Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?
AChoose a rating scale with fair diagnostic reliability.
B A longer rating scale will provide better diagnostic specificity. .
CUse a broad-based rating scale to investigate a particular problem. .
DSelect scales that are research validated for age, condition, and (ideally) culture. .
Question 60 Hypersomnolence disorder (excessive sleeping) can be caused by which of the following?
A Insufficient sleep
B Disrupted sleep
CBasic neurologic dysfunction in the brain systems . regulating sleep
D All the above
Question 61 Which of the following questions should be considered prior to prescribing any medication?
A What is the patient or caregiver preference?
B How rapid of a treatment response is needed?
CHow does the child’s age effect your risk-benefit analysis?
D All of the above
Question 62 Strategies that enhance therapeutic engagement include which of the following?
AEngage the child/adolescent in a manner to encourage them feeling noticed, heard, . and appreciated.
B Make sure that the parent/caregiver is always in the room.
C Start off with targeted diagnostic questions to save time.
D Always take the child/adolescent’s side if there is disagreement with caregiver.
Question 63 Which of the following is true about educating children and their families about theirdiagnosed mental health disorder?
A There is an inherent desire to better understand problems.
BIt is important to focus on understanding the stigma of mental health.
CIt is important to connect the specific diagnosis with the recommended treatment.
D A and C
Question 64 Which of the following BMIs is associated with severe anorexia nervosa? A BMI >17 kg/m2
BBMI 16–
. 16.99kg/m2
CBMI 15–15.99 .kg/m2
D BMI <15kg/m2
Question 65 Developmental impairments and disruptive behavior problems are predominant issuesduring which of the following age ranges:
A Ages 0–5
BAges 6– 12
CAges 13– . 18
D Ages 18+
Question 66 Applied behavioral analysis is typically indicated for which of the following disorders?
A Anxiety disorder
B Depressive disorder
CAutism spectrum disorder
DOppositional defiant disorder
Question 67 A distinct period of an abnormally and persistently elevated, expansive or irritable mood lasting at least a week or requiring hospitalization is consistent with which of the following?
A A manic episode
BA hypomanic episode
C Cyclothymia
D Bipolar II Disorder
Question 68 A patient in their early 20s presents reporting chronic fluctuating moods ranging from mild depression to at times some hypomania. Recalls being sensitive and moody as a child. These symptoms are consistent with which of the following diagnoses?
A Dysthymia
B Cyclothymia
CBipolar II Disorder
DBipolar I Disorder
Question 69 The comorbid psychiatric condition most frequently associated with anorexia nervosa iswhich of the following?
A Depression
B Social phobia
C Schizophrenia
DObsessive-compulsive disorder
Question 70 When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?
A Sensory impairment
B Intellectual disability
CSubstance use disorder
DMood or anxiety disorder
Question 71 Which of the following is NOT an American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
AThe AACP Code of Ethics contains laws to direct the professional activities of child . and adolescent providers.
BThe AACP Code of Ethics contain guidelines that could be used consistently and .impartially.
CThe principles and guidelines in the AACP Code of Ethics are to be applied at all .times.
DIf there is question about how to apply a principle the provider is directed to seek . consultation from appropriate professional resources.
Question 72 The APRN would recommend which of the following be included in a post-crisis plan?
A Keep up regular routines
B Maintain a “low-key” atmosphere
CFollow typical house rules but pick your .battles
D All the above
Question 73 Which of the following medications is approved by the FDA for treatment of enuresis?
A Tofranil
B Zolpidem
C Solriamfetol
DRotigotine patch
Question 74 In evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic possibility?
A Anxiety disorder
BAdjustment disorder
CConversion disorder
DAbuse or maltreatment
Question 75 Which of the following is NOT consistent with what is known about socioeconomic andcultural factors related to mood disorders?
ANo correlation has been found between socioeconomic status and major depressive .disorder.
BA higher-than-average incidence of Bipolar I disorder is found among the upper . socioeconomic groups.
C Bipolar I disorder is more common among persons who graduated from college.
D The prevalence of mood disorder does not differ among races.
Question 76 “Is it ever right to deceive a research subject?” is a question which specifically falls underthe category of which of the following domain of ethics?
A Morality
B Metaethics
C Applied ethics
DNormative ethics
Question 77 The two neurotransmitters most implicated in the pathophysiology of mood disorders arewhich of the following?
A Gaba and Dopamine
BSerotonin and Norepinephrine
C Insulin and testosterone
D Estrogen and Prolactin
Question 78 The strongest predictors of a future suicide completion include which of the following? Check all that apply.
AAn active mood disorder
BA history of suicide attempts
CCurrent substance use disorder
DA family history of suicidal behaviors
Question 79 Which of the following would be an initial screening question for a child with sleep problems?
A Do worries keep you awake?
B What is your routine before going to bed?
C Do you startle easily or get frequent nightmares?
DDo you feel tense, restless or worried most of the time?
Question 80 Which of the following hormone levels is increased in anorexia nervosa?
ACorticotrophin-releasing hormone (CRH)
B Luteinizing hormone (LH)
C Follicle-stimulating hormone (FSH)
DThyroid-stimulating hormone (TSH)
Question 81 Which of the following medications are approved by the FDA for treatment of mania inchildren ages 12–17?
A Lithium
.BOlanzapine
C Duloxetine
.DSertraline
Question 82 The most common age of onset of anorexia nervosa is which of the following?
A Early 20s
B10–13 years of age
C14–18 years of age
D19–29 years of age
Question 83 Which of the following medications is considered a first-line treatment for anxiety in children?
A Sertraline (Zoloft)
BCitalopram (Celexa)
CFluvoxamine (Luvox)
D Paroxetine (Paxil)
Question 84 Which of the following medications is FDA approved for the treatment of bulimia?
A Tofranil
BFlurazepam
C Fluoxetine
DArmodafinil
Question 85 Time-consuming internal repetitions of unwanted thoughts and or a persistent focus on repeating specific types of behaviors or mental acts are symptoms consistent with which ofthe following diagnoses?
ABipolar disorder
B Major depressive disorder
CGeneralized anxiety disorder
D Obsessive-compulsive disorder
Question 86 Which of the following is true about social skills training with teens?
A Social skills training is used to teach social problem solving.
B Social skills training is more potent in a one-to-one setting.
CSocial skills training is more potent in a group setting due to the . peer influences.
D A and C .
Question 87 Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features?
A Psychosis
B Weight loss
CSevere anhedonia
D B and C .
Question 88 The ANA’s Code of Ethics for Nurses applies to which of the following EXCEPT:
A Nurse educators
B Nurse researchers
C Physician assistants
DAdvance practice registered nurses
Question 89 Which of the following medications are approved by the FDA for treating generalized anxiety disorder in children ages 7–17?
ASertraline
BQuetiapine
CDuloxetine
DClomipramine
Question 90 Which of the following symptoms assists in differentiating purging disorder from bulimia nervosa?
A Abuse of laxatives and diuretics
B Purging does not occur as a result of a binge episode
C Purging behavior occurs after eating small quantities of . food or drink
D B and C .
Question 91 Which of the following is important to realize when treating a child with an anxiety disorder?
A Anxiety disorders are commonly diagnosed in families.
BRepeated exposures to feared situations will always help the child to unlearn the . fear response.
CParents should encourage avoidance of feared situations as this will help the . fear dissipate.
D SSRI’s are the MOST effective treatment in relieving symptoms of anxiety.
Question 92 A therapy focused on readiness to change related to health behaviors is known as which ofthe following?
A Social skills training
B Motivational interviewing
C Applied behavioral analysis
DBehavioral management training
Question 93 Which of the following is NOT consistent with guidelines for obtaining informed consent involving child/adolescents?
It is crucial that potential risks and benefits of research are clearly described to the A guardian(s) and in a developmentally appropriate manner to the involved . children/adolescents.
BAssent of the child/adolescent should be sought if developmentally feasible in . situations involving minimal risk.
CRegardless of the degree or risk, the refusal of a child or adolescent to assent to . participation in research should be considered binding.
DChildren and adolescents should only be forced to participate in medical research if . the overall benefit strongly outweighs the risk.
Question 94 Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?
A Ages 0–5
BAges 6– 12
C Ages 13– 18
D Ages 18+
Question 95 The clinician asks the child who is anxious/worried, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories?
A Panic disorder
B Specific phobia
CGeneralized anxiety disorder
DSeparation anxiety disorder
Question 96 Which of the following should first be considered when assessing a child with sleepproblems?
A Poor sleep habits
B Insomnia disorder
CMajor depressive disorder
DGeneralized anxiety disorder
Question 97 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?
ABipolar disorder
B Substance use disorder
.C Major depressive disorder .
D Persistent depressive disorder
Question 98 Which of the following medications are FDA approved for the treatment of insomnia?
A Temazepam
B Pramipexole
CDesmopressin
DSodium oxybate
Question 99 Which of the following medications are approved by the FDA for treating obsessive-compulsive disorder in children ages 10–17? Check all that apply.
ASertraline
BFluoxetine
CFluvoxamine
DClomipramine
Question 100 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
DBupropion HCL extended release
