A nurse at a health department is discussing regulations regarding STIs during a staff education session. Which of the following statements by a staff member indicates an understanding of the information?

The correct answer is Choice B because, "Clients receive Medicare benefits when eligible." Distributive justice is the ethical principle that resources should be allocated fairly among members of society. The outcome of clients receiving Medicare benefits when eligible is an example of distributive justice because it ensures that eligible clients have access to healthcare resources that are distributed fairly based on their need for them.

Choice A is wrong because, "Clients demonstrate completion of advance directives," is not the correct answer because it is an example of autonomy, which is the ethical principle that individuals have the right to make decisions about their own healthcare. Choice C is wrong because, "Clients verbalize their right to refuse treatment," is an example of informed consent, which is the ethical principle that individuals have the right to make decisions about their own healthcare based on accurate information. Choice D is wrong because, "Clients understand their right to confidentiality," is an example of confidentiality, which is the ethical principle that healthcare information should be kept private and secure.

The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.

Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.

Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.

Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.