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ATI LPN · Mental Health Nursing · Common Psychiatric Disorders NCLEX-PN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 5-year-old child was referred by his schoolteacher saying that he is naughty and troublesome in the class. She states that he often gets into fights with other children and finds it hard to wait for his turn when doing something. His mother reports that he has otherwise normal milestones and is generally a very bright kid. He also does very well in his academics although it is difficult to get him to concentrate on anything. He is generally underweight and does not eat well. Suggest the best possible drug treatment for him.

A. Methylphenidate

B. Atomoxetine

C. Dexamphetamine

D. Olanzapine

Expert Explanatory Rationale

Correct Answer: Methylphenidate

Question 2 of 5

A client in a manic episode is having difficulty concentrating and frequently changes topics during conversation. Which nursing response is appropriate in this situation?

A. You're not making any sense right now. Can you focus?

B. I'm here to listen. Let's try to stick to one topic at a time.

C. Please stop interrupting and let others speak as well.

D. I don't understand what you're trying to say.

Expert Explanatory Rationale

Correct Answer: I'm here to listen. Let's try to stick to one topic at a time.

Question 3 of 5

A client is curious about the impact of chronic stress on the development of depression. Which statement accurately reflects the relationship between chronic stress and depression?

A. Chronic stress can lead to hyperactivity of the HPA axis, resulting in elevated levels of cortisol that can support neuronal growth and survival.

B. Chronic stress can lead to hypoactivity of the HPA axis, resulting in reduced levels of cortisol that enhance neurogenesis and synaptic plasticity.

C. Chronic stress can lead to hyperactivity of the HPA axis, resulting in elevated levels of cortisol that can impair neurogenesis and synaptic plasticity.

D. Chronic stress can lead to hypoactivity of the HPA axis, resulting in reduced levels of cortisol that improve neurotrophic factors and cognitive function.

Expert Explanatory Rationale

Correct Answer: Chronic stress can lead to hyperactivity of the HPA axis, resulting in elevated levels of cortisol that can impair neurogenesis and synaptic plasticity.

Question 4 of 5

Regarding Conversion disorder which is false

A. They are defined as loss or change of function

B. Suggesting a physical disorder but caused by psychological conflict

C. 90% of time present as neurological symptoms or disorder

D. The symptoms production is conscious one

Expert Explanatory Rationale

Correct Answer: The symptoms production is conscious one

Question 5 of 5

There is mention of mental illness in several ancient Indian literatures. The aetiology of mental disorders was attributed to disturbances in endogenous humors which included all of the below except:

A. Vatonmad

B. Kaphonmad

C. Pittonmad

D. Manonmad

Expert Explanatory Rationale

Correct Answer: Manonmad

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