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ATI LPN · Pediatrics Nursing · Pediatric Mental Health Depression NCLEX Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What is the difference between conduct disorder and oppositional disorder?

A. Conduct disorder and oppositional disorder are both the same
B. Conduct disorder occurs due to environmental factors and oppositional disorder occurs due to biological factors
C. Symptoms of conduct disorder fall into four main categories: i) aggressive behaviour ii) destructive behaviour iii) deceitful behaviour and iv) violation of rules. Symptoms of oppositional disorder include: i) throwing repeated temper tantrums ii) excessive arguing with adults iii) refusing to comply with requests and rules iv) defiant towards people in authority
D. None of the above

Expert Explanatory Rationale

Correct Answer: Symptoms of conduct disorder fall into four main categories: i) aggressive behaviour ii) destructive behaviour iii) deceitful behaviour and iv) violation of rules. Symptoms of oppositional disorder include: i) throwing repeated temper tantrums ii) excessive arguing with adults iii) refusing to comply with requests and rules iv) defiant towards people in authority

Question 2 of 5

The adolescent parents of a three-year-old child attend an alternate high school that houses an onsite daycare center. The school nurse refers the parents to a child/adolescent psychiatric and mental health clinical nurse specialist to help them manage their child’s temper tantrums. The focus of the treatment plan is a:

A. behavior modification program for the child that the parents will implement at home.
B. parenting class at a local mental health clinic for the parents to attend weekly during the evening.
C. play therapy session for the child, which the clinical nurse specialist conducts weekly.
D. school-based intervention with the parents to convey that behavior is motivated by thoughts and feelings.

Expert Explanatory Rationale

Correct Answer: behavior modification program for the child that the parents will implement at home.

Question 3 of 5

A grandiose sense of self importance is associated with which of the following disorders?

A. Histrionic PD
B. Narcissistic PD
C. Antisocial PD
D. Obsessive-Compulsive PD

Expert Explanatory Rationale

Correct Answer: Narcissistic PD

Question 4 of 5

A patient is being discharged after spending six days in the hospital, due to depression with suicidal ideation. The psychiatric-mental health nurse knows that an important outcome has been met when the patient states:

A. I can’t wait to get home and forget that this ever happened.'
B. I feel so much better. If I continue to feel this way, I can probably stop taking my medications soon.'
C. I have a list of support groups and a crisis line that I can call, if I feel suicidal.'
D. I have to leave here soon, if I want to make it to the shelter before they run out of beds.'

Expert Explanatory Rationale

Correct Answer: I have a list of support groups and a crisis line that I can call, if I feel suicidal.'

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?

A. Determine the length of time that symptoms have been present.
B. Establish the client’s level of suicidality.
C. Confirm the client’s report with collateral information.
D. Assess the client’s intake over the last three days.

Expert Explanatory Rationale

Correct Answer: Establish the client’s level of suicidality.

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