Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior?
Phillip is a 5-year-old boy who is in care after being referred for failure to speak at school. He has been in kindergarten for 5 months, and initially his teacher thought he was just shy, so she did not focus on him. However, it has become increasingly apparent that he flat out will not speak at school. Phillip’s parents are adamant that there is not any problem at home and that Phillip talks with them and his older sister routinely. Further assessment reveals that he has always been extremely shy and that he doesn’t like it when people make a fuss over him. The PMHNP suspects that Phillip has selective mutism, which is closely related to:
A. A history of sexual abuse
B. Fetal alcohol syndrome
C. Early onset schizophrenia
D. Social anxiety disorder
Jason is a 17-month-old male who is referred for evaluation of an unusually high level of irritability. His mother says he cries ?all the time,? and sometimes he just cannot be comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability should include all the following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Treatment of abused children is multimodal and long term. The single most important aspect of treatment is:
A. Establishing a safe place for the child
B. Exposure related to the feared experience
D. Cognitive-behavioral interventions
Having child and adolescent patients rate their feelings and moods on a scale of 1–10 is most effective in which age group?
A. 18-months to 3 years
B. 3 to 5 years
C. 5 to 11 years
D. 12 to 17 years
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