A school nurse is assisting in the planning a presentation on identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?
Seeking a tutor for help with a challenging class
Volunteering to serve food at a homeless shelter over the holidays.
Displaying extreme mood swings
Making plans to go to the prom
The Correct Answer is C
A. Seeking a tutor for help with a challenging class. Seeking academic support is a positive coping strategy and does not indicate a risk for suicide. Students struggling with schoolwork may experience stress, but tutoring reflects problem-solving behavior and a willingness to improve academically.
B. Volunteering to serve food at a homeless shelter over the holidays. Engaging in community service is generally a sign of social involvement and purpose. While sudden changes in behavior could be concerning, volunteering itself is not a warning sign of suicide and may indicate a sense of fulfillment.
C. Displaying extreme mood swings. Extreme mood swings can indicate emotional instability, a key warning sign of suicide. Drastic changes in mood, especially from deep sadness to sudden calmness, may suggest suicidal intent and should be taken seriously by caregivers and peers.
D. Making plans to go to the prom. Making future plans typically reflects hope and engagement in life. However, if a student suddenly makes farewell plans, withdraws from social activities, or gives away belongings, it may be a concerning sign that requires further assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Strict parental guidelines contribute to the development of personality disorders: While parenting style can influence personality development, strict guidelines alone do not directly cause personality disorders. Genetic, environmental, and social factors interact to contribute to their onset.
B. Personality disorders often manifest from childhood emotional trauma: Childhood emotional trauma, including neglect, abuse, and unstable relationships, is a significant risk factor for personality disorders. These experiences can lead to maladaptive coping mechanisms that persist into adulthood.
C. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders: Personality disorders occur across all socioeconomic backgrounds. Diagnosis may be influenced by access to mental health care, but the prevalence is not necessarily lower in higher socioeconomic groups.
D. Personality disorders are often seen in children under the age of 10: Personality disorders are not typically diagnosed in children because personality development is ongoing. Diagnosis usually occurs in late adolescence or early adulthood when patterns of behavior become persistent and disruptive.
Correct Answer is D
Explanation
A. Depression. Depression is typically characterized by low energy, feelings of sadness, and withdrawal from activities. Hyperactivity and pacing are not consistent with depressive symptoms, as individuals with depression often exhibit psychomotor retardation rather than excessive movement.
B. Delusions. Delusions are fixed, false beliefs that are not based on reality, such as paranoia or grandiosity. While delusions can occur in mania, the client's primary symptoms of hyperactivity, pacing, and poor concentration are more indicative of a manic episode rather than delusional thinking alone.
C. Hallucinations. Hallucinations involve sensory perceptions that occur without external stimuli, such as hearing voices or seeing things that are not there. The client’s symptoms do not indicate hallucinations but rather heightened activity levels and distractibility.
D. Mania. Mania is characterized by hyperactivity, excessive energy, rapid speech, and poor concentration. Pacing and an inability to focus during group therapy suggest an elevated mood state, making mania the most appropriate identification of the client’s manifestations.
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