ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
An adolescent with schizophrenia has been refusing to take his medications on a daily schedule. The visiting nurse knows that it is important for medications to be taken to maintain a normal, balanced life. The visiting nurse discusses treatment options with the doctor. The best solution for this patient would be:
Correct Answer: C
Rationale: Risperdal Consta (C), a long-acting injectable antipsychotic, ensures compliance for schizophrenia patients refusing oral meds, unlike inpatient care (A), visits (B), or another oral drug (D).
Question 2 of 5
A nurse in the pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: ADHD increases risk for injury (D) due to impulsivity and inattention, a key safety concern for guardians. (A) is inaccurate as symptoms typically emerge before age 12, not specifically 3; (B) is incomplete and vague; and (C) is false, as ADHD doesn’t inherently involve below-average intellect, though academic challenges may occur.
Question 3 of 5
A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others. Which finding indicates the plan of care was effective? The child:
Correct Answer: D
Rationale: The diagnosis focuses on impaired social interaction due to aggression. (D) cooperative play directly indicates improved social skills and reduced aggression, aligning with the care plan’s goal. (A) addresses anxiety, (B) communication, and (C) authority, which are secondary to the social focus.
Question 4 of 5
Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others’ conversations. How should the nurse document these behaviors?
Correct Answer: C
Rationale: Impulsivity (C) describes acting without forethought, fitting the symptoms of blurting and interrupting, common in ADHD. (A) implies intent, (B) is physical overactivity, and (D) doesn’t match.
Question 5 of 5
The child with conduct disorder is prone to physical acting out behaviors. Which nursing intervention is most likely to prevent an episode of acting out?
Correct Answer: A
Rationale: Prompt intervention at early signs of aggression (A) de-escalates conduct disorder behaviors, preventing escalation. Reinforcing all behaviors (B) confuses boundaries, success activities (C) are preventive but less immediate, and unconditional regard (D) lacks structure needed for CD.