ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
An eight-year-old female child is referred to the child/adolescent psychiatric and mental health clinical nurse specialist for verbalizing fears that her immigrant grandmother will die. The widowed grandmother wears heavy black clothes, prays throughout the day, and secludes herself from everyone except the child. Although the grandmother is physically healthy, she discusses her impending death with the child. The clinical nurse specialist recognizes that:
Correct Answer: A
Rationale: Cultural norms (A) like mourning attire and death discussions may explain the grandmother’s behavior, not depression (D). Language (C) isn’t specified, and religious fixations (B) overpathologize.
Question 2 of 5
A mother who has paranoid delusions has been isolating her seven-year-old child. The child is developing disruptive behavior and the family has come to the attention of several community agencies. The most effective means of addressing the family’s needs is to:
Correct Answer: D
Rationale: Multiple agencies with a primary clinician (D) coordinates care for complex needs while managing the mother’s paranoia. Self-determination (A) risks isolation, direct interaction (B) may overwhelm, and single focus (C) limits support.
Question 3 of 5
An adolescent client states, 'My mother doesn’t believe that I’m really in pain. She thinks it’s all in my head, but I know I feel the pain.' The child/adolescent psychiatric and mental health clinical nurse specialist responds:
Correct Answer: A
Rationale: Validating pain as real (A) builds trust and acknowledges psychosomatic links, avoiding dismissal. Uncertainty (B), agreeing with the mother (C), or deflection (D) undermine the client.
Question 4 of 5
What is a common symptom of childhood depression?
Correct Answer: C
Rationale: Persistent sadness or irritability (C) is a hallmark of childhood depression per DSM-5, distinct from typical mood swings. Tantrums (A) and aggression (B) may occur but aren’t core, and school phobia (D) is anxiety-related.
Question 5 of 5
Which disorder is characterized by involuntary defecation?
Correct Answer: B
Rationale: Encopresis (B) is involuntary defecation, often linked to constipation. Enuresis (A) is urination, autism (C) and ADHD (D) are neurodevelopmental, not bowel-related.