ATI LPN
Pediatric Mental Health NCLEX Questions Questions
Question 1 of 5
The parents of a 10-year-old take the child to the mental health clinic. The nurse establishes rapport and credibility with the child by asking the child about which of the following?
Correct Answer: D
Rationale: Hobbies and interests (D) build rapport by engaging the child in a non-threatening, positive topic, fostering trust. Symptoms (A), relationships (B), and medical history (C) are clinical and less rapport-focused initially.
Question 2 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 3 of 5
A client will be discharged with a prescription for PRN lorazepam (Ativan) for breakthrough anxiety. To which client statement should the nurse respond with more teaching?
Correct Answer: A
Rationale: Alcohol with lorazepam (A) increases CNS depression, requiring more teaching on safety. Consulting a doctor (B), non-pharmacologic attempts (C), and Paxil (D) are appropriate.
Question 4 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 5 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.