Cognitive assessment in children characterizes stages of development consistent with Piaget’s developmental theory. One of the cognitive principles typically developed during the sensorimotor stage is:

A. Object permanence

B. Animalistic thinking

C. Phenomenalistic causality

D. Learning without reasoning.

A 12-year-old patient is being seen today in follow-up after being started on fluoxetine 1 month ago for a diagnosis of generalized anxiety disorder. The patient and her father both report that while there does appear to be a mild improvement in anxiety, some adverse effects have developed about which they are concerned.

Which of the following is not an expected adverse effect and is a cause for concern?

A. Vivid nightmares

B. Diaphoresis

C. Restless legs

D. Impulsivity

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YouTube: https://www.youtube.com/watch?v=6onROBl73UE&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=93

The PMHNP is evaluating a patient who presents complaining of panic attacks that occur for no identifiable reason. The patients has been treated for these previously with a variety of pharmacotherapies that did not provide any meaningful improvement. Upon further conversation, the NP learns that the patient experienced a near-fatal bicycle accident 4 years ago after being hit by a car.

When considering a diagnosis of PTSD, the NP explores his history for all of the following diagnostic criteria except:

A. Intrusion symptoms.

B. Angry outbursts.

C. Negative cognition

D. Avoidance symptoms.

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YouTube: https://www.youtube.com/watch?v=QQ-KgQYOuSg&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=92