ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 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 2 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 3 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).
Question 4 of 5
Which of the following statements by the client to the nurse will indicate that the client understands important information about taking clozapine (Clozaril)?
Correct Answer: D
Rationale: Clozapine requires weekly blood tests (D) to monitor for agranulocytosis, a life-threatening side effect, making this the most critical understanding. Tyramine (A) is for MAOIs, and rashes (C) or sun (B) are less specific.
Question 5 of 5
The nurse has taught a chronically anxious client the procedure for using muscle relaxation and deep breathing as calming techniques. Which comment by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Practicing only during anxiety (D) limits effectiveness; daily practice (A) builds skill and reduces baseline anxiety (C), indicating more teaching is needed for proactive use.