ATI LPN
Pediatric Mental Health NCLEX Questions Quizlet Questions
Question 1 of 5
For the past 18 months, an eight-year-old child has exhibited involuntary, purposeless, rapid recurrent movements of the arms and face as well as spontaneous unintelligible vocalizations. When receiving verbal cues, the child can decrease and sometimes extinguish the erratic movements for several minutes. The diagnosis is:
Correct Answer: D
Rationale: Tourette disorder (D) features multiple motor and vocal tics for over a year, suppressible with cues, matching the description. Atypical (A) and chronic motor (B) lack vocal tics, and stereotypic (C) involves repetitive, non-tic movements.
Question 2 of 5
A mother brings her four-year-old son in for evaluation because he 'does not get along with his step-siblings.' The mother reports that her son refuses to play a game with his step-siblings unless they play by his rules. According to cognitive development theory, the explanation for the child’s behavior is that he is in the:
Correct Answer: C
Rationale: At age 4, preoperational stage (C) per Piaget includes egocentrism, limiting perspective-taking, explaining the behavior. Industry (A) is later, preconventional (B) is Kohlberg’s moral stage, and concrete operations (D) starts at 7.
Question 3 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist meets regularly with the staff nurses of an adolescent inpatient psychiatric unit to improve the nurses’ therapeutic interactions with the patients. Each nurse keeps a journal describing clinical interactions with an adolescent and examines the factors that hinder the nurse’s ability to interact therapeutically with the patient. The clinical specialist reviews the entries and provides written feedback. This teaching strategy is known as:
Correct Answer: D
Rationale: Journaling and feedback on interactions (D) is reflective practice, enhancing self-awareness and skills. Concept mapping (A), discovery (B), and problem-based learning (C) differ in structure.
Question 4 of 5
Which of the following disorders is characterized by persistent and repetitive nail biting or thumb sucking?
Correct Answer: C
Rationale: Nail biting (C) is a disorder defined by repetitive nail biting or thumb sucking, often a nervous habit. Temper tantrums (A) involve outbursts, delinquency (B) law-breaking, and aggressiveness (D) hostility, none of which match the description.
Question 5 of 5
What is the management strategy for enuresis in children?
Correct Answer: D
Rationale: Enuresis (bedwetting) management includes psychotherapy (A) for emotional factors, medication (B) like desmopressin, and behavioral therapy (C) like alarms; all (D) are valid per clinical guidelines.