Pediatric Mental Health NCLEX Questions
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Question 1 of 5.
When crisis intervention is provided, which nursing action takes priority?
A. Explaining the benefits of professional counseling
B. Encouraging the survivors to talk about the event
C. Reassuring the survivors that they will adapt
D. Advising consulting a physician for drug therapy
Explanation: Talking about the event helps process trauma and is a priority in crisis intervention.
Question 2 of 5.
To help the parents cope with their disappointment and loss of their 'perfect' baby, which nursing action is most appropriate initially?
A. Encourage the parents to verbalize their feelings.
B. Treat the child as a normal newborn.
C. Refer the couple to community resources for assistance.
D. Encourage the parents to consider long-term institutional placement.
Explanation: Encouraging verbalization allows parents to express grief and begin processing their emotions, which is critical initially for coping with the diagnosis.
Question 3 of 5.
Which response by the nurse to the parents is most appropriate at this time?
A. The physicians here are very well qualified.
B. This diagnosis is difficult for you to accept.
C. Why do you feel you need a second opinion?
D. It's not as bad as it may seem right now.
Explanation: Acknowledging the difficulty of accepting the diagnosis validates the parents' emotions and opens communication without being confrontational.
Question 4 of 5.
The nurse is most correct to support the parents as they move through the grieving process. Place the following stages of the grieving process in the chronologic order in which they will most likely occur.
- A. Depression
- B. Anger
- C. Denial
- D. Bargaining
- E. Acceptance
- C. Denial
- B. Anger
- D. Bargaining
- A. Depression
- E. Acceptance
Correct arrangement
Explanation: The Kubler-Ross model typically follows the order: Denial, Anger, Bargaining, Depression, Acceptance.
Question 5 of 5.
Which of the following information documented by the nurse provides the most evidence that the mother is bonding with her newborn with Down syndrome?
A. The mother smiles and talks to the baby.
B. The mother asks questions about infant care.
C. The mother wants to see visitors who come.
D. The mother feeds and burps the baby.
Explanation: Smiling and talking to the baby indicate emotional engagement and attachment, key signs of bonding.
Related Questions
Which statement is the best explanation for the adolescent's behavior?
When the nurse documents this incident, which wording is most appropriate?
Which area of the adolescent's social history is most appropriate for the clinic nurse to assess?
If ruminations about suicide are present, which observation by the nurse is most significant?