ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.