ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A child has been exhibiting the MacDonald Triad. These behaviors include:
Correct Answer: B
Rationale: The MacDonald Triad, linked to potential future violence, includes bed-wetting (enuresis), animal cruelty (e.g., swinging a cat), and fire-setting (e.g., lighting paper on fire). Option B accurately reflects these specific behaviors.
Question 2 of 5
An adolescent boy has recently had an increase in his Lithium dosage. The parents call the clinic because their son has been ill with a fever and chest congestion that seems to be getting worse. The nurse should:
Correct Answer: C
Rationale: Fever and worsening symptoms after a lithium increase could indicate toxicity, especially if dehydration from illness concentrates lithium levels. Immediate medical evaluation (C) is critical over assuming a virus (A), adjustment (B), or home treatment (D).
Question 3 of 5
An 8-year-old girl has been brought to the emergency room after being in a motor vehicle accident, which killed her brother and mother. The doctor orders Proponotol for the child. The nurse knows that this order:
Correct Answer: C
Rationale: Assuming 'Proponotol' is a typo for propranolol, this beta-blocker can reduce PTSD risk by dampening trauma memory consolidation (C). Age (A) isn’t a contraindication, it’s not for surgery (B), and consent (D) is situational.
Question 4 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 5 of 5
An adolescent with schizophrenia has been refusing to take his medications on a daily schedule. The visiting nurse knows that it is important for medications to be taken to maintain a normal, balanced life. The visiting nurse discusses treatment options with the doctor. The best solution for this patient would be:
Correct Answer: C
Rationale: Risperdal Consta (C), a long-acting injectable antipsychotic, ensures compliance for schizophrenia patients refusing oral meds, unlike inpatient care (A), visits (B), or another oral drug (D).