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 A
Explanation
A. Phase 1 of the cycle of violence, also known as the tension-building phase, is characterized by increasing tension and conflict between the parties involved in the abusive relationship. During this phase, arguments, disagreements, and conflicts escalate in frequency and intensity.
B Physical harm typically occurs during phase 2 of the cycle of violence, known as the acute or explosion phase.
C. This phase follows the acute phase and is characterized by the perpetrator expressing remorse, making excuses for their behavior, or attempting to reconcile with the victim through gestures of affection, gifts, or promises to change. However, these promises are often short- lived and may be followed by a return to tension-building behavior and the cycle of violence repeating.
D. Law enforcement involvement is not specific to phase 1 of the cycle, during which tensions are escalating and conflicts are increasing in frequency.
Correct Answer is B
Explanation
B. Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These determinants include factors such as socioeconomic status, education, employment, housing, and access to healthcare.
A. Health equity refers to the absence of disparities in health and healthcare among different populations. However, this option does not specifically address the client's situation of unemployment and homelessness.
C. Treatment protocols are important for guiding clinical practice but they do not directly address the social determinants of health impacting the client's situation.
D. Unconscious bias refers to implicit attitudes or stereotypes that influence judgments and behaviors in a subconscious manner but do not directly address the social determinants of health impacting the client's situation of unemployment and homelessness.
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