ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 36 : Mental Health Disorders of Childhood and Adolescence Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is assessing an 8-year-old girl with a mood disorder. Which of the following would the nurse most likely expect to assess?
Correct Answer: A
Rationale: Mood disorders in children, such as depression, often present with verbalized feelings of sadness (option
A). Behavioral problems (option
B) may occur but are less specific. Options C and D are more characteristic of obsessive-compulsive disorder, not a mood disorder.
Question 5 of 5
A group of nurses is reviewing medications used to treat attention deficit hyperactivity disorder. The students demonstrate understanding of the information when they identify methylphenidate as which of the following?
Correct Answer: B
Rationale: Methylphenidate is a psychostimulant used to treat ADHD by increasing dopamine and norepinephrine levels to improve attention and impulse control. Option A (SSRI) is for depression, option C (noradrenergic reuptake inhibitor) describes drugs like atomoxetine, and option D (alpha agonist) includes drugs like clonidine.