ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A diagnosis of major depression presents which of the following signs and symptoms?
Correct Answer: B
Rationale: Major depression, per DSM-5, includes symptoms like feelings of worthlessness or guilt, neglect of appearance, and persistent low mood (B), lasting most of the day for at least two weeks. Joy (A) contradicts depression, occasional sadness (C) is too mild, and bad temper (D) is nonspecific.
Question 2 of 5
Two child/adolescent psychiatric and mental health clinical nurse specialists are conducting a continuing education class for nurses, psychiatric technicians, and aides who have varying levels of experience and education. The clinical nurse specialists begin the class by introducing themselves and relating their backgrounds and experience. The class is then asked to do the same and tell why they are there. This method reflects which principle of adult learning theory?
Correct Answer: C
Rationale: Sharing introductions and motivations (C) builds rapport and cohesion, key in adult learning to foster engagement. Dynamics (A) and knowledge (B) are assessed indirectly, and expertise (D) is secondary to group connection.
Question 3 of 5
After climbing on the trees that surround a six-year-old female child’s home, the child reports that the 'angry trees' made her fall. This animistic thinking is:
Correct Answer: C
Rationale: Animism, attributing life to objects (C), is typical in Piaget’s preoperational stage (ages 2-7), not abnormal (B), a coping mechanism (A), or schizophrenia (D), which involves delusions beyond developmental norms.
Question 4 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist on the adolescent unit observes a group of three patients ostracizing a fourth patient. The members of the group use a special walk and wear similar outfits to define themselves. The clinical nurse specialist realizes that:
Correct Answer: B
Rationale: Group identity markers and ostracism (B) reflect Erikson’s identity vs. role confusion, common in adolescence. Separation (A), development (C), or transfer (D) overreact or misinterpret.
Question 5 of 5
A 17-year-old patient arrives at the emergency department with nonspecific complaints. The patient’s temperature is 100.8°F (38.2°C), pulse rate and blood pressure are elevated, and pupils are dilated with decreased reaction to light. Two days ago, the patient began taking sertraline (Zoloft) 50 mg daily for treatment of depression. The patient has a history of substance use and smoked marijuana one week ago. The diagnosis is:
Correct Answer: D
Rationale: Fever, tachycardia, hypertension, and dilated pupils shortly after starting sertraline (D) suggest serotonin syndrome, an SSRI risk. Alcohol withdrawal (A), infection (B), and NMS (C) don’t align with timing or symptoms.