ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is caring for an autistic child who has been hospitalized. The child rocks continuously, but the rocking does not seem to present any risk to the child's safety. The nurse should take which action?
Correct Answer: B
Rationale: If rocking is safe and self-soothing, as common in autism, allowing it (B) respects the child’s coping mechanism. Holding (A) or time out (C) may escalate distress, and distraction (D) may not address the underlying need.
Question 2 of 5
The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, 'When the client has bulimia nervosa, an increase in the anxiety level will generally result in:'
Correct Answer: C
Rationale: In bulimia nervosa, anxiety often triggers binging and purging (C) as a maladaptive coping mechanism. Control (A) aligns with anorexia, overeating (B) lacks purging, and high-risk behaviors (D) are less specific.
Question 3 of 5
The client was admitted following a suicidal attempt by drug overdose. The client's Axis I diagnosis is bipolar disorder, Type I. The most appropriate short term goal of the nurse is for the client to:
Correct Answer: B
Rationale: Post-suicide attempt, the immediate priority is safety from further harm (B), aligning with acute care goals. Other options (A, C, D) are longer-term or secondary.
Question 4 of 5
The nurse is conducting an initial client education group with six clients recently diagnosed with bipolar disorder. On which topic should the nurse's teaching focus?
Correct Answer: D
Rationale: Initial education for bipolar disorder should cover symptoms and etiology (D) to help clients understand their condition, forming the basis for treatment adherence. Other topics (A, B, C) are secondary at this stage.
Question 5 of 5
The community mental health client says, 'I’m afraid something is wrong with me. I don’t have any appetite. I don’t get much sleep and some days I don’t want to be alive.' What is the most important first assessment by the nurse?
Correct Answer: B
Rationale: Suicidal ideation ('don’t want to be alive') requires immediate assessment of intent and plan (B) for safety. Duration (A), collateral (C), and intake (D) are secondary to this urgent risk.