Psychiatric-Mental Health Nurse Practitioner Exam Special Populations in Psychiatric Care 3

Question 1

Fetal alcohol spectrum disorder (FASD) results from prenatal alcohol exposure. Which characteristic is most associated with the neurodevelopmental profile of FASD?

Accepted Answer

Intellectual disability, executive function deficits, and poor adaptive behavior

Answer

High IQ with behavioral regulation difficulties

Answer

Primarily motor delays without cognitive impact

Answer

Rapid language acquisition with social deficits

Question 2

A PMHNP is treating a patient with intellectual disability (ID) and severe self-injurious behavior. Pharmacotherapy should:

Accepted Answer

Be used adjunctively with behavioral interventions after identifying the function of the behavior

Answer

Be the first and only treatment modality

Answer

Always begin with antipsychotics regardless of diagnosis

Answer

Be avoided entirely in patients with ID

Question 3

When assessing grief in a patient who lost a spouse 14 months ago with persistent daily yearning and functional impairment, a PMHNP would consider:

Accepted Answer

Prolonged grief disorder (PGD)

Answer

Normal bereavement requiring no intervention

Answer

Major depressive disorder only

Answer

Adjustment disorder with depressed mood

Question 4

A PMHNP is conducting a psychiatric evaluation of an adolescent. Assent (versus consent) means:

Accepted Answer

The parent gives permission and the adolescent agrees to participate in treatment

Answer

Only the adolescent signs forms without parental involvement

Answer

The court authorizes treatment over family objection

Answer

The adolescent is treated as an adult for all legal purposes

Question 5

A PMHNP working with patients who have co-occurring serious mental illness (SMI) and substance use disorder should prioritize which treatment model?

Accepted Answer

Integrated dual diagnosis treatment addressing both conditions simultaneously

Answer

Treat the mental illness first, then address substance use

Answer

Treat substance use first before initiating psychiatric medications

Answer

Refer to separate programs for each condition

Question 6

Which DSM-5 neurodevelopmental disorder requires persistent deficits in social communication across multiple contexts AND restricted, repetitive behaviors for diagnosis?

Accepted Answer

Autism spectrum disorder (ASD)

Answer

ADHD

Answer

Intellectual disability

Answer

Specific learning disorder