Description
- An 11-year-old’s grandmother died unexpectedly about 2 months ago. Since that time, the child refuses to eat more than one meal per day and cries daily. Several days each week, she has been visiting the school nurse for complaints of headaches. Based on DSM criteria, which is the most appropriate diagnosis?
A prolonged grief disorder
B conduct disorder
C anorexia nervosa, restricting type
D adjustment disorder with depressive symptoms
2. Which initial treatment would the NP recommend for a 17-year-old client who uses marijuana on a weekly basis? Answers: A – D
A motivational interviewing
B residential treatment
C medication assisted treatment
D community service
Which intervention implemented by the PMHNP is a primary mental health prevention strategy?
Answers: A – D
A leading committee to improve conditions on an adolescent inpatient unit
B teaching a class about substance use to high school students
C conducting a social skills group for children with autism spectrum disorder
D conducting group therapy for adolescents who have substance use disorder
According to the ACEs pyramid, which mechanism, present at conception, can lead to early death?
Answers: A – D
A historical trauma
B adverse childhood experiences
C disrupted neurodevelopment
D social impairment
3. The PMHNP is concerned that an adolescent was exposed to adverse childhood experiences. Which is the next best step?
Answers: A – D
A screen the client using an ACE questionnaire.
B screen the client using a pediatric symptom checklist.
C ask the client if there is anything they want to share
D ask the client’s parents about possible ACEs
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