ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 36 : Mental Health Disorders of Childhood and Adolescence Questions
Question 1 of 5
A 10-year-old child with Tourette?s disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow-up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?
Correct Answer: A
Rationale: Haloperidol, an antipsychotic, commonly causes sedation as a side effect, so the child?s report of feeling sleepy (option
A) suggests this. Option B (unchanged eating) and option C (flexible muscles) are not typical side effects. Option D (increased alertness) is opposite to haloperidol?s sedative effect.
Question 2 of 5
A group of nursing students is reviewing information about disruptive behavior disorders. The students demonstrate understanding of the topic when they identify which of the following as an externalizing disorder?
Correct Answer: D
Rationale: Conduct disorder is an externalizing disorder characterized by behaviors like aggression and rule-breaking, which are outwardly directed. Anxiety (option
A), depression (option
B), and schizophrenia (option
C) are internalizing or psychotic disorders, not externalizing.
Question 3 of 5
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The first step in implementing time out is to clearly identify the expected behavior (option
B), as this sets the foundation for the child to understand what actions lead to consequences. Options A, C, and D follow later in the process.
Question 4 of 5
A 12-year-old child is brought to the mental health clinic by his parents because of a court-ordered evaluation. When assessing the child, which of the following would lead the nurse to suspect that the child has a conduct disorder? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Conduct disorder involves persistent patterns of behavior that violate societal norms or others? rights. Destruction of property (
A), petty larceny (
B), disobedience (
C), blaming others (
D), and lying (E) are all indicative of conduct disorder, as they reflect aggression, deceit, and rule-breaking.
Question 5 of 5
The nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
Correct Answer: B
Rationale: For encopresis, the first step is typically bowel cleansing to address any fecal impaction, which can contribute to involuntary soiling. Mineral oil (option
A) or toilet sitting (option
D) may follow, and a low-fiber diet (option
C) is counterproductive, as high fiber is preferred.