ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A father reports that his adolescent daughter has gotten good grades up until the last quarter of school. She has been hanging out by herself and does not want to talk to him anymore. The mental health nurse should:
Correct Answer: B
Rationale: A sudden drop in grades and social withdrawal are red flags for depression, warranting a screening (B). This is not typical teenage behavior (A), and immediate probing (C) or waiting (D) may miss a critical diagnosis.
Question 2 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 3 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 4 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).
Question 5 of 5
A 13-year-old boy who has been on antipsychotic medications for a month has begun experiencing extrapyramidal effects, reporting muscle paralysis in his lower extremities. This is referred to as:
Correct Answer: A
Rationale: Akinesia (A) is muscle rigidity or paralysis, an extrapyramidal effect of antipsychotics, unlike restlessness (B), spasms (C), or late-onset movements (D).