ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A child that has not exhibited enuresis in four years has exhibited this behavior pattern for the last week. The reason a child may revert back to this behavior pattern is because of:
Correct Answer: D
Rationale: Regression to enuresis after a period of continence is often a response to stress, such as trauma or change, acting as a coping mechanism. Hallucinations (A) and delusions (C) are psychotic symptoms, and behavioral challenges (B) are too vague to explain this specific regression.
Question 2 of 5
Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family. The adoptive family has been reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Ellie will need to:
Correct Answer: B
Rationale: Severe neglect can lead to attachment disorders, manifesting as anger and manipulation. Recognizing this (B) and involving the family in care addresses the root cause, unlike symptom-focused (A, D) or abandonment (C) approaches.
Question 3 of 5
When using the SAD FACES depression screen, it is important to assess:
Correct Answer: D
Rationale: SAD FACES (a mnemonic) includes multiple depression indicators like anhedonia (loss of pleasure), suicidal thoughts, and sleep changes. All (D) are critical components of the screen.
Question 4 of 5
An adolescent with a known history of bipolar disorder is in the school nurses office because a teacher reported that she was talking fast and acting like she was God. The school nurse assesses the girl and notes that:
Correct Answer: A
Rationale: Rapid speech and grandiosity (acting like God) are classic signs of a manic episode in bipolar disorder, requiring professional intervention (A). Sleep (B), medication lapse (C), or rest (D) are less immediate explanations.
Question 5 of 5
A mental health nurse is educating a mother on how to help her child deal with anxiety issues. The teaching should include:
Correct Answer: D
Rationale: All options (D) are evidence-based strategies: verbalizing feelings reduces anxiety, lowering stimuli prevents overwhelm, and problem-solving builds coping skills, making them collectively appropriate.