ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A school-aged patient with attention-deficit/hyperactivity disorder is displaying disruptive behaviors at home. The psychiatric-mental health nurse modifies the treatment plan for the social domain, by advising the patient’s parents to:
Correct Answer: B
Rationale: A point system (B) reinforces positive behavior socially in ADHD. Eye contact (A) aids attention, homework (C) is academic, and predictability (D) is broader.