ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A 13-year-old boy who has been on antipsychotic medications for a month has begun experiencing extrapyramidal effects, reporting muscle paralysis in his lower extremities. This is referred to as:
Correct Answer: A
Rationale: Akinesia (A) is muscle rigidity or paralysis, an extrapyramidal effect of antipsychotics, unlike restlessness (B), spasms (C), or late-onset movements (D).
Question 2 of 5
A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others. Which finding indicates the plan of care was effective? The child:
Correct Answer: D
Rationale: The diagnosis focuses on impaired social interaction due to aggression. (D) cooperative play directly indicates improved social skills and reduced aggression, aligning with the care plan’s goal. (A) addresses anxiety, (B) communication, and (C) authority, which are secondary to the social focus.
Question 3 of 5
Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others’ conversations. How should the nurse document these behaviors?
Correct Answer: C
Rationale: Impulsivity (C) describes acting without forethought, fitting the symptoms of blurting and interrupting, common in ADHD. (A) implies intent, (B) is physical overactivity, and (D) doesn’t match.
Question 4 of 5
The child with conduct disorder is prone to physical acting out behaviors. Which nursing intervention is most likely to prevent an episode of acting out?
Correct Answer: A
Rationale: Prompt intervention at early signs of aggression (A) de-escalates conduct disorder behaviors, preventing escalation. Reinforcing all behaviors (B) confuses boundaries, success activities (C) are preventive but less immediate, and unconditional regard (D) lacks structure needed for CD.
Question 5 of 5
The client's medication has recently been changed from lithium carbonate (Eskalith) to valproic acid (Depakote). When the client asks the nurse to explain the reasons for the change in medication, the nurse should make which statement?
Correct Answer: A
Rationale: Lithium and Depakote both stabilize mood in bipolar disorder but differ in mechanism and side effects (A). They’re not chemically related (B), Depakote treats mania too (C), and side effects differ (D).