ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A 17-year-old patient arrives at the emergency department with nonspecific complaints. The patient’s temperature is 100.8°F (38.2°C), pulse rate and blood pressure are elevated, and pupils are dilated with decreased reaction to light. Two days ago, the patient began taking sertraline (Zoloft) 50 mg daily for treatment of depression. The patient has a history of substance use and smoked marijuana one week ago. The diagnosis is:
Correct Answer: D
Rationale: Fever, tachycardia, hypertension, and dilated pupils shortly after starting sertraline (D) suggest serotonin syndrome, an SSRI risk. Alcohol withdrawal (A), infection (B), and NMS (C) don’t align with timing or symptoms.
Question 2 of 5
When beginning therapy with a six-year-old child with autism, the child/adolescent psychiatric and mental health clinical nurse specialist initially communicates with the child:
Correct Answer: A
Rationale: Nonverbal communication with gestures (A) suits autism’s social and language deficits, building trust. Tactile (B) risks overwhelm, and verbal options (C, D) may confuse.
Question 3 of 5
When conducting a longitudinal non-experimental study about various modalities to treat bipolar disorder in children and adolescents, a child/adolescent psychiatric and mental health clinical nurse specialist:
Correct Answer: B
Rationale: Longitudinal non-experimental studies observe over time without manipulation, so evaluating every six months for five years (B) fits. Random assignment (A) and trials (C) are experimental, and no-treatment (D) raises ethical issues.
Question 4 of 5
The director of psychiatric services asks a child/adolescent psychiatric and mental health clinical nurse specialist to define and coordinate the standard of nursing care for psychiatric patients in the emergency department. The clinical nurse specialist is serving in the role of a change:
Correct Answer: A
Rationale: Defining and coordinating care standards (A) positions the specialist as a change agent, implementing improvements. Investigator (B) researches, recipient (C) receives change, and strategist (D) plans broadly.
Question 5 of 5
The parent or legal guardian of a seven-year-old child must approve any medication orders, because a child of this age fails to meet which two of the four elements of informed consent?
Correct Answer: B
Rationale: A 7-year-old lacks competence (ability to understand) and comprehension (grasping implications) (B), requiring guardian consent. Autonomy, veracity, confidentiality, beneficence, disclosure, and voluntariness are adult-focused.