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NURS 6660 MIDTERM EXAM
Richard is an 11-year-old patient who has been hospitalized following a
suicide attempt in which he mixed a variety of household cleansers and
poisons and swallowed them. He has been medically cleared, and his initial
psychiatric assessment reveals a preadolescent male who made this suicide
attempt because he was so unhappy at school. His family recently moved
from another part of the country and he started a new school. The other
children have been bullying him, and he just decided it would be better to
die. He has no siblings and no friends in this new

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NURS 6660 MIDTERM EXAM
town. Which additional findings during this assessment would prompt the
PMHNP to suggest a psychiatric admission?
A. His mother has a history of severe post-partum depression
B. A finding of mild depression during this examination
C. Appreciable ambivalence about suicide
D. Complete absence of any other psychiatric diagnoses
Kelly is an 8-year-old girl who is being evaluated by the PMHNP because
she is markedly behind her peers in school performance. During her mental
status examination, she is unable to repeat three objects after five minutes,
and is unable to repeat five digits forward or three digits backward. Further
evaluation reveals an inability to add single digits.
The PMHNP interprets this finding as:
A. Consistent with her developmental milestone expectations
B. A manifestation of profound anxiety
C. Reflective of brain damage or learning disabilities

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NURS 6660 MIDTERM EXAM • Richard is an 11-year-old patient who has been hospitalized following a suicide attempt in which he mixed a variety of household cleansers and poisons and swallowed them. He has been medically cleared, and his initial psychiatric assessment reveals a preadolescent male who made this suicide attempt because he was so unhappy at school. His family recently moved from another part of the country and he started a new school. The other children have been bullying him, and he just decided itwould be better to die. He has no siblings and no friends in this new NURS 6660 MIDTERM EXAM town. Which additional findings during this assessment would promptthe PMHNP to suggest a psychiatric admission? A. His mother has a history of severe post-partum depression B. A finding of mild depression during this examination C. Appreciable ambivalence about suicide D. Complete absence of any other psychiatric diagnoses • Kelly is an 8-year-old girl who is being evaluated by the PMHNP because she is markedly behind her peers in school performance. Duringher mental status examination, she is unable to repeat three objects after five minutes, and is unable to repeat five digits forward or three digits backward. Further evaluation reveals an inability to add single digits. The PMHNP interprets this finding as: A. Consistent with her developmental milestone expectations B. A manifestation of profound anxiety C. Reflective of brain damage or learning disabili ...
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