A mother who has paranoid delusions has been isolating her seven-year-old child. The child is developing disruptive behavior and the family has come to the attention of several community agencies. The most effective means of addressing the family’s needs is to:

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Pediatrics Mental Health Cognition Questions Questions

Question 1 of 5

A mother who has paranoid delusions has been isolating her seven-year-old child. The child is developing disruptive behavior and the family has come to the attention of several community agencies. The most effective means of addressing the family’s needs is to:

Correct Answer: D

Rationale: Multiple agencies with a primary clinician (D) coordinates care for complex needs while managing the mother’s paranoia. Self-determination (A) risks isolation, direct interaction (B) may overwhelm, and single focus (C) limits support.

Question 2 of 5

What is a common symptom of childhood depression?

Correct Answer: C

Rationale: Persistent sadness or irritability (C) is a hallmark of childhood depression per DSM-5, distinct from typical mood swings. Tantrums (A) and aggression (B) may occur but aren’t core, and school phobia (D) is anxiety-related.

Question 3 of 5

Which disorder is characterized by involuntary defecation?

Correct Answer: B

Rationale: Encopresis (B) is involuntary defecation, often linked to constipation. Enuresis (A) is urination, autism (C) and ADHD (D) are neurodevelopmental, not bowel-related.

Question 4 of 5

Which is a common characteristic of juvenile delinquency?

Correct Answer: C

Rationale: Juvenile delinquency (C) is defined by law-breaking behavior, contrasting with obedience (A), academic success (B), or social skills (D).

Question 5 of 5

Which disorder involves physical symptoms without a medical cause, often triggered by psychological stress?

Correct Answer: B

Rationale: Conversion disorder (B) presents physical symptoms (e.g., paralysis) from psychological stress, without medical basis. ADHD (A), autism (C), and OCD (D) don’t fit.

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