During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

"This puts you in an at-risk category."

"We need to talk about safe sex."

"You're not gay, you're confused."

"Tell me what makes you think you are gay."

Answer and Explanation

The Correct Answer is D

A.   Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B.   While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C.   Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D.   Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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Correct Answer is ["A","B","D","E"]

Explanation

A. History of previous suicide attempts is a significant risk factor for future attempts.
B. Mental health changes, such as depression or anxiety, are strongly associated with an increased risk of suicidal behaviors.
C. Greatly improved school performance is less likely to be considered a risk factor for suicide.
D. Family disorganization or conflict can contribute to stress and emotional instability, increasing the risk.
E. Substance abuse, including alcohol or drugs, is linked to an increased risk of suicidal thoughts and behaviors.
F. Higher socioeconomic status is not typically identified as a strong risk factor for suicide in adolescents.

A. The child is unable to push a toy lawnmower. B. The child has trouble undressing himself. C. The child is unable to unscrew a jar lid. D. The child falls when he bends over.

Correct Answer is C

Explanation

A. Inability to push a toy lawnmower might indicate strength or coordination issues but might not necessarily point to delayed motor development.
B. Having trouble undressing himself could relate to coordination or dexterity but doesn't directly reflect delayed motor development.
C. The inability to unscrew a jar lid suggests delayed fine motor skills, which could indicate delayed motor development at this age.
D. Falling when bending over might indicate balance or coordination concerns but might not solely indicate delayed motor development.

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During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

The nurse is observing a 24-month-old boy in a daycare center. Which finding suggests delayed motor development?

Correct Answer is C

Explanation

The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say "mama" or "dada" yet. What is the priority intervention?

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