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
The correct answer is Choice B because, "I have to turn my head completely to see things that are beside me." This statement suggests the possibility of impaired peripheral vision, which could be a safety concern. The nurse should assess further and possibly refer the client for further evaluation.
Choice A is wrong because, "I have to change my hearing aid battery weekly," is not the correct answer as it is a routine self-care task for individuals with hearing aids. Choice C is wrong because, "I prepare my medications for the week on Sundays," is not the correct answer as it is a routine self-care task for individuals who take multiple medications. Choice D is wrong because, "I prepare all of my own meals," is not the correct answer as it is a routine selfcare task for many individuals.
Correct Answer is A
Explanation
The correct answer is Choice A because, "Organize an influenza immunization clinic with the American Red Cross." The parish nurse group should plan to provide influenza immunization clinics to help prevent the spread of influenza in the congregation. Influenza is a contagious respiratory illness that can be spread by coughing, sneezing, and touching contaminated surfaces. This answer is correct because immunization clinics will help prevent influenza, which is a primary and secondary health care need for the congregation.
Choice B is wrong because is incorrect because providing end-of-life care is not a primary or secondary health care need for the congregation, and the parish nurse group is not qualified to provide this level of care.
Choice C is wrong because is incorrect because performing wound care in the home of members is not a primary or secondary health care need for the congregation.
Choice D is wrong because is incorrect because facilitating discharge from the facility to the home is not a primary or secondary health care need for the congregation.
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