ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
An adult client with a tentative diagnosis of Antisocial PD refuses to participate in unit activities. When he is on the unit, he makes fun of the other clients. Considering the client’s diagnosis and behavior, which one of the following nursing plans would be most effective for the nursing staff to follow?
Correct Answer: A
Rationale: Informing of rules (A) sets clear expectations for antisocial PD, countering manipulation. Isolation (B) avoids accountability, conferring (C) delays action, and forcing participation (D) may escalate resistance.
Question 2 of 5
A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse?
Correct Answer: D
Rationale: Schizotypal PD features magical thinking and perceptual distortions (D), distinguishing it from schizoid PD, which involves detachment (A), disinterest in relationships (B), and indifference to praise (C).
Question 3 of 5
A patient who was admitted yesterday with an adjustment disorder and depressed mood has not left his or her room. The psychiatric-mental health nurse’s most appropriate approach at meal time today is to respond:
Correct Answer: B
Rationale: Walking and sitting with the patient (B) gently encourages socialization while providing support, ideal for adjustment disorder. Bringing food (A) reinforces isolation, choice (C) may overwhelm, and insistence (D) lacks empathy.
Question 4 of 5
The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:
Correct Answer: A
Rationale: Akathisia (A) is restlessness from psychotropics, often mistaken for anxiety. Akinesia (B) is reduced movement, bradykinesia (C) slow movement, and dystonia (D) muscle spasms.
Question 5 of 5
A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric-mental health nurse’s most appropriate response is to:
Correct Answer: C
Rationale: Listening and redirecting (C) validates feelings while addressing staff dynamics therapeutically. Apology (A) assumes fault, explanation (B) dismisses, and reporting (D) bypasses exploration.