ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 15 : Mental Health Promotion for Children and Adolescents Questions
Question 1 of 5
The nurse is counseling a family with a child who has been abused by adult family friend in the past. When explaining about the child?s needs, which of the following would be most important for the nurse to stress?
Correct Answer: A
Rationale: A supportive relationship with a trusted adult is critical for an abused child?s recovery, providing safety and emotional stability. Long-term psychotherapy or medications may be needed but are secondary, and separation from parents is not indicated unless they are the abusers.
Question 2 of 5
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
Correct Answer: C
Rationale: Children of alcoholics often develop low self-concept due to unstable family dynamics, neglect, or emotional stress. Delusions or paranoid delusions are not typical without a psychotic disorder, and extroversion is a personality trait, not a symptom.
Question 3 of 5
A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family?s home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
Correct Answer: B
Rationale: Repairing the roof is the highest priority to ensure a safe, habitable environment, protecting the children from health risks due to exposure. Immunizations are important but less urgent, educational readiness is secondary, and reporting neglect is premature without assessing intent or resources.
Question 4 of 5
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The statement reflects the invincibility fable, a common adolescent belief that they are immune to negative consequences. Formal operations refer to cognitive development, egocentric thinking is self-focused but not specific to risk, and relational aggression involves social harm, not denial of risk.
Question 5 of 5
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
Correct Answer: A
Rationale: Altering routines to avoid the past may disrupt stability and hinder processing the divorce, indicating a need for further teaching. Ensuring children don?t feel responsible, consistent visitation, and consistent limits are appropriate strategies to reduce emotional problems.