ATI LPN
Pediatric Mental Health NCLEX Questions Quizlet Questions
Question 1 of 5
An 8-year-old boy with a history of hallucinations and violent behavior has been placed in a seclusion room at the hospital because he has been hurting others. The nurse checks on the patient and realizes she must take him out of the seclusion room when:
Correct Answer: C
Rationale: Seclusion must end if the child poses an immediate risk to themselves, such as headbutting a window, which could cause injury. Emotional pleas (A, B) or threats (D) do not override safety protocols unless de-escalation is confirmed.
Question 2 of 5
A teenage girl with a known history of bipolar disorder has been taking Lithium for a year. The doctor has ordered that the teen start taking Haloperidol because of increased irrational behavior. The nurse should:
Correct Answer: A
Rationale: Haloperidol can be used with lithium, but education on side effects (A) like extrapyramidal symptoms is crucial. There’s no absolute contraindication (B), and timing (C) or verification (D) are secondary to patient education.
Question 3 of 5
Exposure therapy should be referred for a child when:
Correct Answer: C
Rationale: Exposure therapy is specifically designed for phobias, like severe social phobia (C), by gradually desensitizing the child to feared stimuli. It’s not indicated for suicidal thoughts (A), hyperactivity (B), or alexithymia (D, emotional identification difficulty).
Question 4 of 5
The nurse is explaining the difference of Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) to a parent. The best explanation is:
Correct Answer: C
Rationale: ODD involves defiance with some remorse, while CD features rule-breaking without guilt (C), reflecting their diagnostic distinction. CD isn’t remorseful (A), ADHD doesn’t guarantee ODD (B), and constant intervention (D) overstates CD’s needs.
Question 5 of 5
A teen that is taking antipsychotic medications is complaining to the nurse that her tongue feels very thick. The nurse assesses the teen and notes that her eyes continuously look at the ceiling, and the tongue is not swollen. The nurse knows this could be a sign of:
Correct Answer: D
Rationale: Upward eye movement and perceived tongue thickness without swelling suggest dystonia (D), an extrapyramidal side effect of antipsychotics, not hallucinations (A), general side effects (B), or delusions (C).