Pediatric Mental Health NCLEX Questions
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Question 1 of 5.
Which of the following behaviors exhibited by the child demonstrates the most severe reaction to prolonged hospitalization?
A. Clinging to the parents
B. Shaking the crib frantically
C. Thrashing about
D. Ignoring the parents
Explanation: Ignoring parents indicates severe emotional withdrawal, a significant concern.
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.