N165 SHERPATH WEEK 2 QUESTIONS AND ANSWERS
The nurse is evaluating a pediatric patient whose caregiver states "She keeps having panic attacks!" The
nurse should evaluate the patient for signs and symptoms of which conditions that can be mistaken for
a panic attack? Select all that apply.
a) Bradycardia
b) Hypothermia
c) Hyperthyroidism
d) Mitral valve prolapse
e) Consumption of multiple high-energy drinks - CORRECT ANSWER✅✅c) Hyperthyroidism
d) Mitral valve prolapse
e) Consumption of multiple high-energy drinks
Which are classified as biologic factors contributing to mental health disorders in children? Select all that
apply.
a) Sexual orientation
b) Familial predisposition
c) Changes in family dynamics
d) A history of substance abuse
e) Increased level of stress hormones - CORRECT ANSWER✅✅b) Familial predisposition
e) Increased level of stress hormones
An adolescent is diagnosed with depression. Which statements or questions should the nurse include
during the personal history assessment to identify the potential cause of the condition? Select all that
apply.
a) "Tell me about your family at home."
b) "Do you have a religious background?"
c) "How often do you use drugs or alcohol?"
,d) "Do you have a history of long-term illnesses?"
e) "Have you had any recent losses, such as a friend or loved one?" - CORRECT ANSWER✅✅a) "Tell me
about your family at home."
c) "How often do you use drugs or alcohol?"
d) "Do you have a history of long-term illnesses?"
e) "Have you had any recent losses, such as a friend or loved one?"
The nurse suspects that the child has an anxiety disorder when the child reports which experiences?
Select all that apply.
a) "I feel nervous when it is time to give a class speech."
b ) "I always shake and sweat when an assignment is due to the teacher."
c) "I get tight neck and shoulder muscles and have a lot of headaches."
d) "Yesterday I jumped off the couch when my mom dropped a dinner plate."
e) "I have a hard time catching my breath when I'm with a group of people." - CORRECT ANSWER✅✅b )
"I always shake and sweat when an assignment is due to the teacher."
c) "I get tight neck and shoulder muscles and have a lot of headaches."
e) "I have a hard time catching my breath when I'm with a group of people."
Which statement might make the nurse suspect that a 7-year-old child has separation anxiety disorder?
a) "When I play at my friend's house, I usually call to talk to my dad a few times."
b) "If I go to my grandmother's house, I always take my special blanket and my stuffed dog."
c) "School is hard for me because I can't seem to pay attention to the teacher's instructions."
d) "Sometimes I have a terrible belly-ache before school. It's usually on the days the mean kids ride the
bus." - CORRECT ANSWER✅✅a) "When I play at my friend's house, I usually call to talk to my dad a few
times."
The nurse is caring for a child who developed post-traumatic stress disorder (PTSD) after witnessing a
traumatic event. The nurse understands that the child is experiencing a cluster of arousal symptoms
based on which observation?
,a) The child expresses that he or she no longer "feels like myself."
b) The child refuses to go back to the park where he or she witnessed a shooting.
c) The child loses focus during the day and is preoccupied with thoughts of the traumatic event.
d) A child's teacher states that the child is unusually jumpy when classmates walk past his or her desk. -
CORRECT ANSWER✅✅d) A child's teacher states that the child is unusually jumpy when classmates
walk past his or her desk.
--> increased startle response
The nurse has been caring for a young adolescent girl after the divorce of her parents earlier this year.
The teen reports increased sleepiness and decreased appetite and appears withdrawn. The nurse should
prioritize which assessment for this patient?
a) Nutrition needs and deficits
b) Presence of a sleep disorder
c) Potential for self-harm or suicide
d) Whether child abuse is occurring - CORRECT ANSWER✅✅c) Potential for self-harm or suicide
A 17-year-old patient is being discharged from the community mental health center after being assessed
and treated for an adjustment disorder. The nurse develops a discharge teaching plan for the patient
and parents and identifies which as a priority?
a) The patient should keep follow-up appointments.
b) The patient should not experience anxiety attacks after discharge.
c) The parents should monitor for signs of social withdrawal in the patient.
d) The parents should ensure the patient adheres to the prescribed medication regimen. - CORRECT
ANSWER✅✅c) The parents should monitor for signs of social withdrawal in the patient.
--> the patient is at risk for suicidal thinking
A nurse is teaching the parents of an adolescent with bipolar disorder about the different phases of the
disease. Which symptoms, as described by the parents, best indicate that the patient may be
experiencing mania? Select all that apply.
, a) Reports of feeling very sad
b) Yelling at teachers or friends
c) Irritability throughout the day
d) Feeling energetic with very little sleep
e) Talking too quickly for others to understand - CORRECT ANSWER✅✅b) Yelling at teachers or friends
d) Feeling energetic with very little sleep
e) Talking too quickly for others to understand
The nurse is assessing a 10-year-old child with an internalizing disorder. Which assessment finding is of
the greatest concern to the nurse?
a) The child's mother has a history of bipolar disorder.
b) The child lives at home with a mother and a stepfather.
c) The child's parents are rehabilitated alcoholics, 12 years sober.
d) The child attends family therapy once a week with the parents. - CORRECT ANSWER✅✅a) The child's
mother has a history of bipolar disorder.
--> genetic link
A nurse is caring for an adolescent with a new diagnosis of depression. The patient has been identified
to be at risk for self-harm. When evaluating the effectiveness of patient teaching, which is the most
important outcome?
a) The adolescent resumes after-school sports.
b) The adolescent verbalizes increased self-esteem.
c) The adolescent expresses feelings of positivity and excitement.
d) The adolescent confides in the school counselor about thoughts of self-harm. - CORRECT
ANSWER✅✅d) The adolescent confides in the school counselor about thoughts of self-harm.
--> patient safety is the priority outcome
The nurse is evaluating a pediatric patient whose caregiver states "She keeps having panic attacks!" The
nurse should evaluate the patient for signs and symptoms of which conditions that can be mistaken for
a panic attack? Select all that apply.
a) Bradycardia
b) Hypothermia
c) Hyperthyroidism
d) Mitral valve prolapse
e) Consumption of multiple high-energy drinks - CORRECT ANSWER✅✅c) Hyperthyroidism
d) Mitral valve prolapse
e) Consumption of multiple high-energy drinks
Which are classified as biologic factors contributing to mental health disorders in children? Select all that
apply.
a) Sexual orientation
b) Familial predisposition
c) Changes in family dynamics
d) A history of substance abuse
e) Increased level of stress hormones - CORRECT ANSWER✅✅b) Familial predisposition
e) Increased level of stress hormones
An adolescent is diagnosed with depression. Which statements or questions should the nurse include
during the personal history assessment to identify the potential cause of the condition? Select all that
apply.
a) "Tell me about your family at home."
b) "Do you have a religious background?"
c) "How often do you use drugs or alcohol?"
,d) "Do you have a history of long-term illnesses?"
e) "Have you had any recent losses, such as a friend or loved one?" - CORRECT ANSWER✅✅a) "Tell me
about your family at home."
c) "How often do you use drugs or alcohol?"
d) "Do you have a history of long-term illnesses?"
e) "Have you had any recent losses, such as a friend or loved one?"
The nurse suspects that the child has an anxiety disorder when the child reports which experiences?
Select all that apply.
a) "I feel nervous when it is time to give a class speech."
b ) "I always shake and sweat when an assignment is due to the teacher."
c) "I get tight neck and shoulder muscles and have a lot of headaches."
d) "Yesterday I jumped off the couch when my mom dropped a dinner plate."
e) "I have a hard time catching my breath when I'm with a group of people." - CORRECT ANSWER✅✅b )
"I always shake and sweat when an assignment is due to the teacher."
c) "I get tight neck and shoulder muscles and have a lot of headaches."
e) "I have a hard time catching my breath when I'm with a group of people."
Which statement might make the nurse suspect that a 7-year-old child has separation anxiety disorder?
a) "When I play at my friend's house, I usually call to talk to my dad a few times."
b) "If I go to my grandmother's house, I always take my special blanket and my stuffed dog."
c) "School is hard for me because I can't seem to pay attention to the teacher's instructions."
d) "Sometimes I have a terrible belly-ache before school. It's usually on the days the mean kids ride the
bus." - CORRECT ANSWER✅✅a) "When I play at my friend's house, I usually call to talk to my dad a few
times."
The nurse is caring for a child who developed post-traumatic stress disorder (PTSD) after witnessing a
traumatic event. The nurse understands that the child is experiencing a cluster of arousal symptoms
based on which observation?
,a) The child expresses that he or she no longer "feels like myself."
b) The child refuses to go back to the park where he or she witnessed a shooting.
c) The child loses focus during the day and is preoccupied with thoughts of the traumatic event.
d) A child's teacher states that the child is unusually jumpy when classmates walk past his or her desk. -
CORRECT ANSWER✅✅d) A child's teacher states that the child is unusually jumpy when classmates
walk past his or her desk.
--> increased startle response
The nurse has been caring for a young adolescent girl after the divorce of her parents earlier this year.
The teen reports increased sleepiness and decreased appetite and appears withdrawn. The nurse should
prioritize which assessment for this patient?
a) Nutrition needs and deficits
b) Presence of a sleep disorder
c) Potential for self-harm or suicide
d) Whether child abuse is occurring - CORRECT ANSWER✅✅c) Potential for self-harm or suicide
A 17-year-old patient is being discharged from the community mental health center after being assessed
and treated for an adjustment disorder. The nurse develops a discharge teaching plan for the patient
and parents and identifies which as a priority?
a) The patient should keep follow-up appointments.
b) The patient should not experience anxiety attacks after discharge.
c) The parents should monitor for signs of social withdrawal in the patient.
d) The parents should ensure the patient adheres to the prescribed medication regimen. - CORRECT
ANSWER✅✅c) The parents should monitor for signs of social withdrawal in the patient.
--> the patient is at risk for suicidal thinking
A nurse is teaching the parents of an adolescent with bipolar disorder about the different phases of the
disease. Which symptoms, as described by the parents, best indicate that the patient may be
experiencing mania? Select all that apply.
, a) Reports of feeling very sad
b) Yelling at teachers or friends
c) Irritability throughout the day
d) Feeling energetic with very little sleep
e) Talking too quickly for others to understand - CORRECT ANSWER✅✅b) Yelling at teachers or friends
d) Feeling energetic with very little sleep
e) Talking too quickly for others to understand
The nurse is assessing a 10-year-old child with an internalizing disorder. Which assessment finding is of
the greatest concern to the nurse?
a) The child's mother has a history of bipolar disorder.
b) The child lives at home with a mother and a stepfather.
c) The child's parents are rehabilitated alcoholics, 12 years sober.
d) The child attends family therapy once a week with the parents. - CORRECT ANSWER✅✅a) The child's
mother has a history of bipolar disorder.
--> genetic link
A nurse is caring for an adolescent with a new diagnosis of depression. The patient has been identified
to be at risk for self-harm. When evaluating the effectiveness of patient teaching, which is the most
important outcome?
a) The adolescent resumes after-school sports.
b) The adolescent verbalizes increased self-esteem.
c) The adolescent expresses feelings of positivity and excitement.
d) The adolescent confides in the school counselor about thoughts of self-harm. - CORRECT
ANSWER✅✅d) The adolescent confides in the school counselor about thoughts of self-harm.
--> patient safety is the priority outcome
