A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?
"I have not used drugs in 6 weeks."
"I have been participating in my local YMCA after-school dance program again."
"I don't have anyone I can talk to about my problems."
"I think that I missed two math tutoring classes last week, but I can still catch up."
The Correct Answer is C
C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.
A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.
B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.
D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Codependency refers to a dysfunctional pattern of behavior in which a person excessively relies on another individual (often a partner or family member) for their sense of identity, self- worth, or emotional well-being. In this scenario, the partner's demand to see the client's records
and treatment plan, as well as the assertion of needing to oversee the treatment, suggests an excessive need for control and involvement in the client's life and healthcare decisions.
A. Manipulation involves influencing or controlling someone in a deceptive or dishonest way to achieve one's own goals.
B. Marginalization refers to the exclusion or relegation of a person or group to a lower or outer edge of society or a group.
D. Enabling refers to behaviors that unintentionally or intentionally allow someone to continue engaging in harmful behaviors or avoid facing consequences.
Correct Answer is A
Explanation
A. Social cognition refers to the ability to understand and interpret social cues, including emotions, intentions, and interpersonal interactions. Asking the client to identify emotions on faces depicted on cards assesses their ability to recognize and interpret facial expressions, which is a fundamental aspect of social cognition.
B. Repeating a list of words primarily assesses verbal memory and recall, which may be impaired in dementia but does not specifically target social cognition.
C. Interpreting a sequence of pictures may assess aspects of visual processing, memory, and problem-solving abilities but does not specifically target social cognition.
D. Imitating gestures of learned movements may assess motor skills and imitation abilities but does not specifically target social cognition.
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