ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 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 2 of 5
The client's medication has recently been changed from lithium carbonate (Eskalith) to valproic acid (Depakote). When the client asks the nurse to explain the reasons for the change in medication, the nurse should make which statement?
Correct Answer: A
Rationale: Lithium and Depakote both stabilize mood in bipolar disorder but differ in mechanism and side effects (A). They’re not chemically related (B), Depakote treats mania too (C), and side effects differ (D).
Question 3 of 5
Which of the following statements by the client to the nurse will indicate that the client understands important information about taking clozapine (Clozaril)?
Correct Answer: D
Rationale: Clozapine requires weekly blood tests (D) to monitor for agranulocytosis, a life-threatening side effect, making this the most critical understanding. Tyramine (A) is for MAOIs, and rashes (C) or sun (B) are less specific.
Question 4 of 5
The nurse has taught a chronically anxious client the procedure for using muscle relaxation and deep breathing as calming techniques. Which comment by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Practicing only during anxiety (D) limits effectiveness; daily practice (A) builds skill and reduces baseline anxiety (C), indicating more teaching is needed for proactive use.
Question 5 of 5
An 18 yr old client was hospitalized for anorexia nervosa. After 1 week of treatment, the nursing team met to evaluate the client’s progress. Signs of improvement would be indicated by
Correct Answer: C
Rationale: Weight gain (C) is a primary indicator of improvement in anorexia nervosa, reflecting nutritional progress. Talking (A), attending groups (B), and shaping up (D) are less objective or may indicate resistance.