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A nurse is caring for an adolescent who is experiencing depression. Which of the following findings should the nurse expect? (Select all that apply.)

Chronic pain

Low self-esteem

Euphoria

Irritability

Insomnia

Answer and Explanation

Correct Answer : A,B,D,E

A. Chronic pain: Depression can manifest as physical symptoms, including chronic pain, in adolescents.

B. Low self-esteem: This is a common feature of depression, where individuals may feel worthless or inadequate.

C. Euphoria: Euphoria is more associated with manic episodes, not depression.

D. Irritability: Depression in adolescents often presents with irritability rather than sadness.

E. Insomnia: Sleep disturbances, including insomnia, are common symptoms of depression.

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Correct Answer is D

Explanation

A. Family conflict: Family conflict can contribute to suicidal ideation, but the presence of an active psychiatric disorder is a more direct risk factor.

B. Homosexuality: Sexual orientation itself is not a risk factor for suicide, but discrimination and lack of acceptance related to sexual orientation can contribute to risk.

C. Availability of firearms: Access to firearms increases the lethality of suicide attempts but is not as significant as the presence of an active psychiatric disorder.

D. Active psychiatric disorder: This is the correct answer. Conditions such as depression, bipolar disorder, and substance use disorders significantly increase the risk of suicide in adolescents.

A. "Why did you feel you needed to do that at this time?" B. "It must be frustrating for you to have to cancel an activity your son enjoyed." C. "You never know. He could be ready for baseball by the spring." D. "Baseball can be a dangerous sport for children anyway."

Correct Answer is B

Explanation

A. "Why did you feel you needed to do that at this time?": This response might come off as insensitive or judgmental. It could imply that the parents made an inappropriate decision without acknowledging their difficult situation.

B. "It must be frustrating for you to have to cancel an activity your son enjoyed.": This response validates the parents' feelings and acknowledges the emotional difficulty of making such a decision. It shows empathy and understanding of their situation.

C. "You never know. He could be ready for baseball by the spring.": This response offers false hope and may not be realistic given the child’s terminal illness. It could undermine the parents’ acceptance of the situation.

D. "Baseball can be a dangerous sport for children anyway.": This response dismisses the parents' feelings and does not acknowledge the real reason for canceling the activity. It is insensitive to the gravity of their situation.

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A nurse is caring for an adolescent who is experiencing depression. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

Correct Answer is D

Explanation

A nurse is speaking with the parents of a 4-year-old child who has a terminal illness. The parents tell the nurse they have taken their son's name off the list for little league baseball next season. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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