A 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other children. Additionally, the staff have observed that when the child seems to become anxious or upset, he always becomes fixated on stacking building blocks one on top of the other to the extent that he will not acknowledge anyone or anything else.

When the parents ask if their child has autism spectrum disorder (ASD), the PMHNP advises the parents that:

A. The repetitive and predictable nature of stacking blocks is calming in children with ASD

B. Stacking blocks is a very typical activity in children at this developmental stage and is not suggestive of ASD.

C. The child should be tested for ASD, but in any event he should be discouraged from using building blocks as a coping mechanism.

D. While the social dysfunction at this age may suggest ASD, the building block activity is not an abnormal finding in a 3-year-old.

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YouTube: https://www.youtube.com/watch?v=rf3inZzulEg&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=118

The PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the mental status examination, the patient is unable to successfully perform a serial 7’s backward count. The NP documents an abnormal finding in the area of:

A. Speech

B. Thought process

C. Judgment

D. Cognition

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YouTube: https://www.youtube.com/watch?v=uQYdcEqFBLc&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=117

Patients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it impossible for them to live independently are diagnosed with major neurocognitive disorder.

Which of the following is not one of the six neurocognitive domains?

A. Learning and memory

B. Language

C. Perceptual motor

D. Cognition and emotion

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YouTube:https://www.youtube.com/watch?v=b9166JUmJLg&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=116