ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
The psychiatric-mental health nurse knows that the patient’s spouse clearly understands the side effects of lithium carbonate (Eskalith), when he or she says:
Correct Answer: A
Rationale: Tremors (A) are a lithium side effect warranting a doctor call. Water (B) is good but not specific, salt-free (C) is incorrect (salt is needed), and 1.6 mEq/L (D) is toxic.
Question 2 of 5
How has the recognition and diagnosis of Autistic Spectrum Disorder been improved over the years?
Correct Answer: D
Rationale: ASD recognition has improved through enhanced staff training (B), increased public awareness (C), and, to some extent, research into biomarkers (A, though less routine). All (D) contribute collectively, with training and awareness being primary drivers in clinical practice.
Question 3 of 5
An eight-year-old female child is referred to the child/adolescent psychiatric and mental health clinical nurse specialist for verbalizing fears that her immigrant grandmother will die. The widowed grandmother wears heavy black clothes, prays throughout the day, and secludes herself from everyone except the child. Although the grandmother is physically healthy, she discusses her impending death with the child. The clinical nurse specialist recognizes that:
Correct Answer: A
Rationale: Cultural norms (A) like mourning attire and death discussions may explain the grandmother’s behavior, not depression (D). Language (C) isn’t specified, and religious fixations (B) overpathologize.
Question 4 of 5
A child is receiving mental health care in a managed care setting. The child’s father questions the confidentiality of the treatment records, fearing that the information could negatively impact his employment or future insurance coverage. In responding, a child/adolescent psychiatric and mental health clinical nurse specialist recognizes that the father is:
Correct Answer: B
Rationale: Confidentiality concerns in managed care (B) are valid due to potential record exposure, not resistance (A), personal focus (C), or trust issues (D).
Question 5 of 5
A mother who has paranoid delusions has been isolating her seven-year-old child. The child is developing disruptive behavior and the family has come to the attention of several community agencies. The most effective means of addressing the family’s needs is to:
Correct Answer: D
Rationale: Multiple agencies with a primary clinician (D) coordinates care for complex needs while managing the mother’s paranoia. Self-determination (A) risks isolation, direct interaction (B) may overwhelm, and single focus (C) limits support.