ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
The client diagnosed with bipolar I disorder is in an inpatient locked unit. The client begins to yell loudly at another client who is also sitting in the dayroom. In order to provide a safe environment for both clients, the nurse should first take which action?
Correct Answer: C
Rationale: Redirecting calmly and firmly (C) de-escalates the situation safely and therapeutically, prioritizing verbal intervention. Distraction (A) is less direct, medication (B) or restraints (D) are escalations not yet warranted.
Question 2 of 5
An adult client with a tentative diagnosis of Antisocial PD refuses to participate in unit activities. When he is on the unit, he makes fun of the other clients. Considering the client’s diagnosis and behavior, which one of the following nursing plans would be most effective for the nursing staff to follow?
Correct Answer: A
Rationale: Informing of rules (A) sets clear expectations for antisocial PD, countering manipulation. Isolation (B) avoids accountability, conferring (C) delays action, and forcing participation (D) may escalate resistance.
Question 3 of 5
A client with Borderline PD gives written notice of intention to leave the hospital after a voluntary admission. The client tells the nurse, 'I will rescind my notice if you expand my smoking privileges.' Which of the following responses is most appropriate?
Correct Answer: A
Rationale: Consistent rules (A) manage borderline PD’s manipulation and splitting, maintaining fairness. Referral (B) avoids responsibility, expanding for all (C) undermines policy, and individualizing (D) reinforces manipulation.
Question 4 of 5
A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse?
Correct Answer: D
Rationale: Schizotypal PD features magical thinking and perceptual distortions (D), distinguishing it from schizoid PD, which involves detachment (A), disinterest in relationships (B), and indifference to praise (C).
Question 5 of 5
A patient who was admitted yesterday with an adjustment disorder and depressed mood has not left his or her room. The psychiatric-mental health nurse’s most appropriate approach at meal time today is to respond:
Correct Answer: B
Rationale: Walking and sitting with the patient (B) gently encourages socialization while providing support, ideal for adjustment disorder. Bringing food (A) reinforces isolation, choice (C) may overwhelm, and insistence (D) lacks empathy.