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 D

Explanation

Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.

A. The client must be calm and cooperative. B. The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. C. The client must verbalize remorse for their behavior. D. The client only verbalizes anger toward the staff.

Correct Answer is A

Explanation

Choice A rationale
The client must be calm and cooperative. This is the most important criterion for removing physical restraints. Restraints are used to prevent patients from causing harm to themselves or others. Once the patient is calm and cooperative, it indicates that the risk of harm has decreased. The goal is always to use the least restrictive measures and to remove restraints as soon as possible.
Choice B rationale
The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. This is not necessarily true. While a provider’s order is required to initiate restraints, the decision to remove them can often be made by the nurse based on their assessment of the patient.
Choice C rationale
The client must verbalize remorse for their behavior. This is not a requirement for removing restraints. The primary concern is the safety of the patient and others, not whether the patient expresses remorse.
Choice D rationale

The client only verbalizes anger toward the staff. If the client is still expressing anger, it may not be safe to remove the restraints. However, verbalizing anger alone is not a sufficient reason to keep a patient in restraints.

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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 is working to build rapport and trust with new patients. Which of the following actions should the nurse take?

Correct Answer is D

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?