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Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A teacher is working with a child with a known diagnosis of Oppositional Defiant Disorder. The teacher should include which of the following in her approach to the child?
Correct Answer: A
Rationale: Consistency with consequences (A) is key for ODD to establish boundaries and reduce defiance. Seating (B), conditional rewards (C), or extra help (D) may help but aren’t core strategies.
Question 2 of 5
An adolescent with a known diagnosis of schizophrenia has placed aluminum foil on all of his bedroom windows and refuses to come out because aliens are going to take him away. The adolescent is exhibiting signs of:
Correct Answer: B
Rationale: Believing aliens will abduct him and acting on it (foil) indicates delusions (B), fixed false beliefs characteristic of schizophrenia, distinct from hallucinations (A, sensory), defense mechanisms (C), or confidence issues (D).
Question 3 of 5
A child with a known diagnosis of autism is receiving therapy for obsessions. The type of therapy that would be appropriate for the child would be:
Correct Answer: A
Rationale: Behavior modification therapy (A) targets specific obsessive behaviors in autism through reinforcement, making it most appropriate over family (B), social (C), or medication (D) options.
Question 4 of 5
An 11-year-old boy recently diagnosed with depression is starting a medication. Which one of the following would be a first-line drug in treating his depression?
Correct Answer: C
Rationale: Lexapro (escitalopram, C), an SSRI, is a first-line treatment for pediatric depression due to efficacy and safety, unlike Buspar (anxiety, A), Depakote (mood stabilizer, B), or Lithium (bipolar, D).
Question 5 of 5
A nurse is assisting the guardians of a school-age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. Which of the following strategies should the nurse recommend? (Select one that does not apply)
Correct Answer: B
Rationale: Oppositional defiant disorder (ODD) involves defiance and hostility toward authority. Effective strategies include: (C) a reward system to reinforce positive behavior, which aligns with behavioral therapy principles; (D) school sports to channel energy and build social skills; and (E) consistency in addressing unacceptable behavior to establish clear boundaries, a cornerstone of ODD management. (A) undermines authority by giving the child control over rules, and (B) may reinforce negative behavior by focusing on it.