ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 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 2 of 5
A nurse is performing an admission assessment on an adolescent client who has depression. Which of the following are expected for this disorder? (Select one that does not apply)
Correct Answer: A
Rationale: Depression in adolescents commonly presents with: (B) substance use as a coping mechanism, seen in many cases as self-medication; and (D) irritability, a hallmark symptom in teens, differing from adult sadness. (A) fear of being alone is more typical of anxiety disorders, and (C) weight gain is less common than weight loss due to appetite changes in depression.
Question 3 of 5
Which factor presents the highest risk for a child to develop a psychiatric disorder?
Correct Answer: C
Rationale: Living with an alcoholic parent (C) poses the highest risk due to environmental stress, neglect, and potential abuse, which are strong predictors of psychiatric disorders. (A) indicates genetic risk but is less direct than immediate environment; (B) and (D) lack evidence as primary risk factors.
Question 4 of 5
A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to
Correct Answer: C
Rationale: The behaviors suggest ADHD or a behavioral disorder. (C) reducing loneliness and increasing self-esteem could address aggression and social issues, though the question lacks a perfect fit. (A) is vague, (B) is extreme for outpatient symptoms, and (D) doesn’t match the primary issues of inattention and aggression.
Question 5 of 5
When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and slaps another child, what is true about forming therapeutic relationships with children who exhibit impulsive behavior?
Correct Answer: C
Rationale: Acceptance and trust (C) are foundational in therapeutic relationships, providing security to impulsive children, fostering cooperation. (A) is partial, (B) is beneficial but less core, and (D) is ideal but not the primary principle here.