ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
What is the difference between conduct disorder and oppositional disorder?
Correct Answer: C
Rationale: Conduct disorder (CD) and oppositional defiant disorder (ODD) differ in severity and behavior patterns. CD involves serious violations like aggression, destruction, deceit, and rule-breaking, while ODD features defiance, tantrums, and arguing with authority (C). They are distinct (not A), causes are multifactorial (not B), and 'none' (D) is incorrect as C is accurate.
Question 2 of 5
After climbing on the trees that surround a six-year-old female child’s home, the child reports that the 'angry trees' made her fall. This animistic thinking is:
Correct Answer: C
Rationale: Animism, attributing life to objects (C), is typical in Piaget’s preoperational stage (ages 2-7), not abnormal (B), a coping mechanism (A), or schizophrenia (D), which involves delusions beyond developmental norms.
Question 3 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist on the adolescent unit observes a group of three patients ostracizing a fourth patient. The members of the group use a special walk and wear similar outfits to define themselves. The clinical nurse specialist realizes that:
Correct Answer: B
Rationale: Group identity markers and ostracism (B) reflect Erikson’s identity vs. role confusion, common in adolescence. Separation (A), development (C), or transfer (D) overreact or misinterpret.
Question 4 of 5
A 17-year-old patient arrives at the emergency department with nonspecific complaints. The patient’s temperature is 100.8°F (38.2°C), pulse rate and blood pressure are elevated, and pupils are dilated with decreased reaction to light. Two days ago, the patient began taking sertraline (Zoloft) 50 mg daily for treatment of depression. The patient has a history of substance use and smoked marijuana one week ago. The diagnosis is:
Correct Answer: D
Rationale: Fever, tachycardia, hypertension, and dilated pupils shortly after starting sertraline (D) suggest serotonin syndrome, an SSRI risk. Alcohol withdrawal (A), infection (B), and NMS (C) don’t align with timing or symptoms.
Question 5 of 5
A child/adolescent psychiatric and mental health clinical nurse specialist counsels the parent of a preschool-aged child who has fetal alcohol syndrome. When asked how to manage the child’s excitability, the clinical nurse specialist advises the parent to:
Correct Answer: D
Rationale: Soft music (D) calms excitability in fetal alcohol syndrome by reducing stimulation. Repetition (A) may help, less action (B) is vague, and peer interaction (C) may overstimulate.