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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice A because, Double-bag soiled dressings in polyethylene bags. The nurse should double-bag soiled dressings in polyethylene bags to contain the infection and prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA). The bags should be securely tied and labeled as contaminated.
Choice B is wrong because, Encourage the client to use a HEPA filter in the house, is not the correct answer because a HEPA filter is not effective in controlling the spread of MRSA.
Choice C is wrong because, Wear a mask when within 3 feet of the client, is not the correct answer because wearing a mask is not necessary unless the nurse is providing direct care to the client and is within 3 feet of them.
Choice D is wrong because, Remove fresh flowers from the client's home, is not the correct answer because fresh flowers are not a source of MRSA.
Correct Answer is A
Explanation
The correct answer is Choice A because, a client who has a rigid abdomen with manifestations of shock. This client is showing signs of internal bleeding and hypovolemic shock, which is a medical emergency that requires immediate treatment to prevent further complications or death. Therefore, the priority should be given to this client.
Choice B is wrong because, a client who has a femur fracture with a 2+ pedal pulse, has a stable condition and can wait for treatment. Choice C is wrong because, a client who is ambulatory and exhibits manic behavior, is not a medical emergency and can wait for treatment. Choice D is wrong because, a client who has superficial partial-thickness burn injuries over 5% of his body, can wait for treatment as these injuries are not life-threatening.
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