A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move.
Which of the following interventions should the nurse implement?

Recommend the client obtain a part-time job.

Schedule an appointment with a school-based counselor.

Arrange a visit with a neurologist.

Encourage the client to engage in more physical activity.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Recommending the client obtain a part-time job may not be the most effective intervention for an adolescent experiencing depression due to a recent move. While employment can provide a sense of purpose and routine, it may also add additional stress and responsibilities that could potentially exacerbate the client’s depression.
Choice B rationale
Scheduling an appointment with a school-based counselor is the most appropriate intervention. School-based counselors are trained to provide emotional support and therapeutic interventions to students dealing with various issues, including depression. They can provide a safe space for the client to express their feelings and can help them develop coping strategies to manage their depression.
Choice C rationale
Arranging a visit with a neurologist is not the most appropriate first intervention. While neurologists can provide treatment for neurological conditions, they are not typically the first point of contact for managing depression.
Choice D rationale
Encouraging the client to engage in more physical activity can be beneficial as exercise has been shown to have a positive effect on mood. However, it may not be sufficient as the sole intervention for an adolescent experiencing depression

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Correct Answer is B

Explanation

Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.

A. The milieu consists of the physical and psychosocial environmental factors. B. The gathering spaces should have the chairs positioned around the perimeter of the day room. C. Therapeutic milieu requires unstructured programming, allowing clients to focus on their interests. D. The clients can keep any personal items in their rooms.

Correct Answer is A

Explanation

Choice A rationale
The statement that the milieu consists of the physical and psychosocial environmental factors indicates an understanding of therapeutic milieu. The therapeutic milieu refers to the structured and safe environment that is created in a mental health setting to promote therapeutic interaction and healing.
Choice B rationale
The positioning of chairs around the perimeter of the day room does not necessarily indicate an understanding of therapeutic milieu. While the physical arrangement of the environment can contribute to the therapeutic milieu, it is not the defining aspect.
Choice C rationale
The statement that therapeutic milieu requires unstructured programming, allowing clients to focus on their interests, does not accurately reflect the concept of therapeutic milieu. While client interests are important, therapeutic milieu often involves structured activities designed to promote therapeutic interaction and healing.
Choice D rationale
The statement that clients can keep any personal items in their rooms does not necessarily indicate an understanding of therapeutic milieu. While personal items can contribute to a sense of comfort and safety, therapeutic milieu involves more than just the physical environment.

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A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move.
Which of the following interventions should the nurse implement?