ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A 7-year-old child with a history of stealing candy from the teachers purse probably has which type of disorder?
Correct Answer: B
Rationale: Kleptomania (B) is characterized by impulsive stealing without need, fitting the scenario. Pyromania (A) involves fire-setting, dissociative identity (C) is rare and unrelated, and PTSD (D) doesn’t typically cause stealing.
Question 2 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 3 of 5
A nurse in the pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: ADHD increases risk for injury (D) due to impulsivity and inattention, a key safety concern for guardians. (A) is inaccurate as symptoms typically emerge before age 12, not specifically 3; (B) is incomplete and vague; and (C) is false, as ADHD doesn’t inherently involve below-average intellect, though academic challenges may occur.
Question 4 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 5 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.