ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 35 : Mental Health Assessment of Children and Adolescents Questions
Question 1 of 5
A nurse is preparing to assess a 9-year-old child who has been sexually abused. Which of the following would be the priority for the nurse?
Correct Answer: D
Rationale: Ensuring a safe and supportive environment (
D) is the priority to reduce trauma and build trust during assessment. Timing (
A), documentation (
B), and dolls (
C) are secondary to creating a secure setting for the child.
Question 2 of 5
A group of nursing students is reviewing information about stress and coping in children. The students demonstrate a need for additional study when they identify which of the following as a stressful experience for a child?
Correct Answer: D
Rationale: Social support (
D) is a coping resource, not a stressor. Death of a pet (
A), chronic illness (
B), and racial discrimination (
C) are recognized stressors for children.
Question 3 of 5
A nurse is preparing to interview a 4-year-old preschooler. Which of the following would be most effective to use for the assessment?
Correct Answer: B
Rationale: Play materials like blocks (
B) engage a 4-year-old, allowing expression through play, which is developmentally appropriate. Direct questions (
A) may overwhelm, and rating scales (C,
D) are less suitable for preschoolers.
Question 4 of 5
A group of nursing students is reviewing information about temperament and its effect on the child?s behavior. The students demonstrate understanding of the concept when they identify which of the following as characteristic of temperament. Select all that apply.
Correct Answer: C,D
Rationale: Temperament includes activity level (
C) and adaptability (
D), innate traits influencing behavior. Emotional bonding (
A) and growth processes (
B) are developmental, and insecurity (E) is a state, not a temperament trait.
Question 5 of 5
A nurse is preparing to complete a mental status examination of an adolescent who is experiencing behavioral problems at school. When assessing the adolescent?s thought processes, which of the following would the nurse need to keep in mind about this age group? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Adolescents develop hypothetical thinking (
B), logical reasoning (
C), abstract thinking (
D), and often struggle to verbalize feelings (E). Concrete thinking (
A) is more typical of younger children.