ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
Several months ago, a 12-year-old male client was involved in an exploitative homosexual relationship with an older adolescent. Now in therapy, the client expresses feelings of helplessness and fantasizes about 'getting even' with the older youth. The child/adolescent psychiatric and mental health clinical nurse specialist encourages the client to:
Correct Answer: C
Rationale: Using a punching bag (C) safely displaces hostility, a therapeutic way to manage anger from trauma. Age-appropriate activities (A) are supportive but indirect, karate (B) risks aggression, and writing (D) may escalate rumination without closure.
Question 2 of 5
According to the Diagnostic and Statistical Manual of Mental Disorders, to diagnose attention-deficit hyperactivity disorder, a child/adolescent psychiatric and mental health clinical nurse specialist assesses a child’s:
Correct Answer: C
Rationale: DSM-5 requires ADHD symptoms (e.g., inattention, hyperactivity) to impair functioning in multiple settings like home and school (C). Specific behaviors (A, B) are components, and intellect (D) isn’t diagnostic.
Question 3 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist conducts a community meeting for children and adolescent patients. Several adolescent patients complain about the intrusive behavior of the younger children. The clinical nurse specialist maintains the therapeutic milieu by:
Correct Answer: C
Rationale: Reviewing rules and consequences (C) reinforces boundaries, maintaining a therapeutic milieu. Solutions (A) may escalate, restrictions (B) punish, and a later meeting (D) delays action.
Question 4 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist learns that a patient with bipolar affective disorder is moving out of state. The clinical nurse specialist refers the patient to a new provider for a followup appointment and prescribes enough medication to last until the appointment with the new clinical nurse specialist. These actions demonstrate the clinical nurse specialist’s understanding of the:
Correct Answer: B
Rationale: Ensuring care continuity and medication (B) avoids abandonment, a legal and ethical duty. Disease (A), timing (C), and standards (D) are relevant but secondary.
Question 5 of 5
Which disorder is associated with difficulties in social interaction and communication, along with restricted interests and repetitive behaviors?
Correct Answer: C
Rationale: Autistic spectrum disorders (C) feature social, communication deficits, and repetitive behaviors per DSM-5. Conversion (A) involves physical symptoms, PTSD (B) trauma responses, and learning disability (D) academic struggles.