Children

Question 1

If a child reports abuse in front of their parents what action is necessary to take?

Answer 1

Immediately notify CPS, then interview the child and parents separately

Question 2

If a child comes into office without parents, and the child is playing in a highly sexualized way with a doll what does the practitioner do?

Answer 2

Priority action is report to CPS (Suspicion alone is enough to report to CPS) you don’t have to contact the parents or legal guardian to verify suspicion

Question 3

Important to build rapport with adolescents what information is confidential?

Answer 3

except when they become dangerous to themselves or others

Question 4

if adolescent is in a consensual relationship with another adolescent is the information confidential?

Answer 4

yes

Question 5

if age discrepancy in relationship with adolescents do you have to tell parents about relationship?

Answer 5

yes if warrants suspicion

Question 6

Advocate for primary patient which is the adolescent regarding patient key word is

Answer 6

confidentiality
not privacy

It is appropriate to separate the parents due to advocating for their right of confidentiality

Question 7

A child comes in and states they inhaled acetone what is the first priority?

Answer 7

you can have them take a urine drug screen first this is in scope of practice for this teenager, you want to screen other substances

Question 8

all antidepressants can increase risk of suicide for children what should you do prior

Answer 8

screen and assess for self harm, frequency and severity

Question 9

Oppositional defiant disorder is diagnosed in

Answer 9

diagnosed in children

Question 10

ODD

Answer 10

enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior lasting at least 6 months with four symptoms

Question 11

how long do symptoms of ODD must be present fro diagnosis

Answer 11

6 months

Question 12

symptoms of ODD include (8) how many must be present for dx

Answer 12

loses temper
touchy or easily annoyed
angry or resentful
argues with authority
actively defies or refuses to comply with request or rules from authority figures
blames others
deliberately annoys others
spiteful or vindictive
4/8

Question 13

what is the mainstay tx for ODD? (3)

Answer 13

therapy
family therapy with emphasis on child management skills
teaching parents positive reinforcement and boundary-setting

Question 14

DMDD (5)

Answer 14

childhood depressive disorder that is diagnosed in children older than age 6 but younger than age 18
chronic dysregulated mood
frequent intense temper outbursts and tantrums
severe irritability
anger

Question 15

if child appears depressed labile, irritable mood what questionnaire would be best

Answer 15

mood questionnaire