ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of severe neglect by her birth family. The adoptive family has been reporting that Ellie is angry a lot, manipulative with her teachers, and does not seek positive attention. The nurse working with Ellie will need to:
Correct Answer: B
Rationale: Severe neglect can lead to attachment disorders, manifesting as anger and manipulation. Recognizing this (B) and involving the family in care addresses the root cause, unlike symptom-focused (A, D) or abandonment (C) approaches.
Question 2 of 5
An adolescent with a known history of bipolar disorder is in the school nurses office because a teacher reported that she was talking fast and acting like she was God. The school nurse assesses the girl and notes that:
Correct Answer: A
Rationale: Rapid speech and grandiosity (acting like God) are classic signs of a manic episode in bipolar disorder, requiring professional intervention (A). Sleep (B), medication lapse (C), or rest (D) are less immediate explanations.
Question 3 of 5
A mental health nurse is educating a mother on how to help her child deal with anxiety issues. The teaching should include:
Correct Answer: D
Rationale: All options (D) are evidence-based strategies: verbalizing feelings reduces anxiety, lowering stimuli prevents overwhelm, and problem-solving builds coping skills, making them collectively appropriate.
Question 4 of 5
Buspar has been prescribed for a boy with a diagnosis of anxiety. The nurse knows that the medication:
Correct Answer: D
Rationale: Buspar (buspirone) is a non-addictive anxiolytic with a duration of several hours (D), unlike benzodiazepines. It’s not limited to extreme cases (A), doesn’t require lab monitoring (B), and has no citrus restriction (C).
Question 5 of 5
A school nurse is giving an in-service to teachers to teach them how to deal with children with ADHD. The nurse should include all of the following topics for discussion except:
Correct Answer: D
Rationale: ADHD accommodations include shorter tasks (A), movement (B), and organization aids (C). Requiring 30 minutes of continuous reading (D) is unrealistic due to attention deficits and should be excluded.