A school nurse is discussing stress management techniques with a group of adolescents. Which of the following activities reported by an adolescent should the nurse identify as the priority?
Staying up all night playing online video games
Listening to loud music for several hours
Talking about others on social media
Scratching or piercing the skin
The Correct Answer is D
The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.
Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.
Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.
Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.
This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.
This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.
While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.
Correct Answer is A
Explanation
The correct answer is Choice A because, "I will be taking medication daily for at least 6 months." Tuberculosis is a bacterial infection that requires treatment with antibiotics for at least 6 months to ensure that the bacteria are completely eradicated. The client's statement indicates that they understand the importance of completing the full course of treatment.
Choice B is wrong because, "I will need to have a special HEPA filter installed in my home," is not the correct answer because although HEPA filters can help reduce the spread of tuberculosis, it is not a priority in client education.
Choice C is wrong because, "I will make sure to stop taking my medication as soon as I start feeling better," is not the correct answer because stopping medication too soon can lead to the development of drug-resistant tuberculosis and the return of symptoms.
Choice D is wrong because, "I can stop taking my medication once my cough goes away," is not the correct answer because a cough can persist even after the bacteria have been eliminated, and stopping medication too soon can lead to a relapse of the disease.
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