The PMHNP is evaluating a 15-year-old male patient who has been referred by his courtappointed guardian.

NURS 6660 FINAL EXAM

Question: 1
The PMHNP is evaluating a 15-year-old male patient who has been referred by his courtappointed guardian. He has been in foster care for the last 6 years and maintained a steady pattern of low-level behavior problems such as skipping school and ignoring curfew. He is not openly defiant and has always been described as a ―loner.‖ He just does not follow most rules. During the mental status examination, the PMHNP notes that his expressions are sometimes inconsistent with the topic (sample nursing essay examples by the best nursing assignment writing service) of conversation, and he does not seem to be able to transition effectively among levels of emotion. This represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight

Question: 2
A variety of diagnostic instruments are available to Help the PMHNP with comprehensive data collection. Which of the following tools is considered an ―interviewer-based‖ tool designed as a guide to clinicians designed to help clarify answers to questions?

A. The Children’s Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)

3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric assessment. Kevin comes to his first appointment with both of his parents. He is sitting in the chair with his arms crossed and responds with ―yes‖ and ―no‖ answers to direct questions; otherwise, he volunteers no information. The parents are clearly upset and indicate they just ―don’t know what to do with him anymore.‖ The most appropriate action for the PMHNP would be to:

A. Ask the parents to step out and interview Kevin privately

—

FINAL EXAM FOR NURS 6660

1st question

A 15-year-old male patient has been referred to the PMHNP by his court-appointed guardian. He has been in foster care for the last 6 years and has exhibited a consistent pattern of low-level behavior issues such as skipping school and failing to obey curfew. He is not openly defiant and has always been labeled as a loner. He simply does not obey the majority of the regulations. During the mental status examination, the PMHNP notes that his expressions are sometimes inconsistent with the topic (sample nursing essay examples by the best nursing assignment writing service) of conversation, and he does not seem to be able to transition effectively among levels of emotion. This denotes a deviation in:

A. Mood

B. Affect

C. Thought process and content

D. Judgment and insight

Question: 2

A variety