A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?
The client still journals their feelings about their sister's death 7 years ago.
The client took courses online and experienced cyberbullying,
The client reports that they primarily eat fast food while living on a limited budget.
The client reports missing classes due to suffering from seasonal allergies.
The Correct Answer is B
B. Experiencing cyberbullying can have significant negative effects on an adolescent's mental health and well-being. Addressing cyberbullying promptly is crucial to ensuring the client's safety and mental health.
A. Journaling their feelings about their sister's death suggests that they are actively processing their emotions, which can be a healthy coping mechanism.
C. Addressing dietary habits and providing education on healthy eating is important but it may not be as urgent as addressing issues such as cyberbullying or mental health concerns.
D. While supporting the client with managing their allergies is important, it may not be the priority for immediate intervention compared to issues such as cyberbullying or mental health concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.
A. Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.
C. Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.
D. Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.
Correct Answer is B
Explanation
B. Borderline personality disorder (BPD) is characterized by unstable mood, behavior, and relationships, often leading to impulsive behaviors including self-harm. It's crucial for the family to understand the potential for self-harm in individuals with BPD and to learn how to recognize warning signs and effectively intervene to ensure the client's safety.
A. While medication may be a component of treatment for some individuals with BPD, it is not typically the first-line intervention for managing the disorder.
C. Group therapy, particularly dialectical behavior therapy (DBT) groups, can be beneficial for individuals with BPD as they provide opportunities for skill-buildin. However, it may not be the immediate priority when teaching the family about BPD.
D. Insurance coverage can be addressed at a later time, and the immediate focus should be on providing information and support to help the family understand and cope with the diagnosis and its implications for the client's well-being.
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