ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
A client will be discharged with a prescription for PRN lorazepam (Ativan) for breakthrough anxiety. To which client statement should the nurse respond with more teaching?
Correct Answer: A
Rationale: Alcohol with lorazepam (A) increases CNS depression, requiring more teaching on safety. Consulting a doctor (B), non-pharmacologic attempts (C), and Paxil (D) are appropriate.
Question 2 of 5
A client with Borderline PD gives written notice of intention to leave the hospital after a voluntary admission. The client tells the nurse, 'I will rescind my notice if you expand my smoking privileges.' Which of the following responses is most appropriate?
Correct Answer: A
Rationale: Consistent rules (A) manage borderline PD’s manipulation and splitting, maintaining fairness. Referral (B) avoids responsibility, expanding for all (C) undermines policy, and individualizing (D) reinforces manipulation.
Question 3 of 5
A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse?
Correct Answer: D
Rationale: Schizotypal PD features magical thinking and perceptual distortions (D), distinguishing it from schizoid PD, which involves detachment (A), disinterest in relationships (B), and indifference to praise (C).
Question 4 of 5
A patient who was admitted yesterday with an adjustment disorder and depressed mood has not left his or her room. The psychiatric-mental health nurse’s most appropriate approach at meal time today is to respond:
Correct Answer: B
Rationale: Walking and sitting with the patient (B) gently encourages socialization while providing support, ideal for adjustment disorder. Bringing food (A) reinforces isolation, choice (C) may overwhelm, and insistence (D) lacks empathy.
Question 5 of 5
The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:
Correct Answer: A
Rationale: Akathisia (A) is restlessness from psychotropics, often mistaken for anxiety. Akinesia (B) is reduced movement, bradykinesia (C) slow movement, and dystonia (D) muscle spasms.