ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 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.
Question 2 of 5
Several months ago, a 12-year-old male client was involved in an exploitative homosexual relationship with an older adolescent. Now in therapy, the client expresses feelings of helplessness and fantasizes about 'getting even' with the older youth. The child/adolescent psychiatric and mental health clinical nurse specialist encourages the client to:
Correct Answer: C
Rationale: Using a punching bag (C) safely displaces hostility, a therapeutic way to manage anger from trauma. Age-appropriate activities (A) are supportive but indirect, karate (B) risks aggression, and writing (D) may escalate rumination without closure.
Question 3 of 5
Which of Yalom’s curative factors in group therapy applies to female adolescents who have sustained incest?
Correct Answer: D
Rationale: Universality (D) helps incest survivors feel less alone by sharing common experiences in group therapy. Altruism (A), cohesiveness (B), and imitation (C) are beneficial but less specific to this trauma.
Question 4 of 5
According to the Diagnostic and Statistical Manual of Mental Disorders, to diagnose attention-deficit hyperactivity disorder, a child/adolescent psychiatric and mental health clinical nurse specialist assesses a child’s:
Correct Answer: C
Rationale: DSM-5 requires ADHD symptoms (e.g., inattention, hyperactivity) to impair functioning in multiple settings like home and school (C). Specific behaviors (A, B) are components, and intellect (D) isn’t diagnostic.
Question 5 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist conducts a community meeting for children and adolescent patients. Several adolescent patients complain about the intrusive behavior of the younger children. The clinical nurse specialist maintains the therapeutic milieu by:
Correct Answer: C
Rationale: Reviewing rules and consequences (C) reinforces boundaries, maintaining a therapeutic milieu. Solutions (A) may escalate, restrictions (B) punish, and a later meeting (D) delays action.