ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric-mental health nurse’s most appropriate response is to:
Correct Answer: C
Rationale: Listening and redirecting (C) validates feelings while addressing staff dynamics therapeutically. Apology (A) assumes fault, explanation (B) dismisses, and reporting (D) bypasses exploration.
Question 5 of 5
A common nursing diagnosis for a patient with antisocial personality disorder is:
Correct Answer: C
Rationale: Impaired social interaction due to manipulation (C) reflects antisocial PD’s core traits. Self-esteem (A) is less typical, thought processes (B) suggest psychosis, and isolation (D) misaligns with sociability.