The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

"Are you having concerns about depression in your son?"

"If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist."

"Screening in at risk teens should be completed annually after age 14."

"Children should be screened for depression every year beginning at age 11."

Answer and Explanation

The Correct Answer is D

A.   While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B.   Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C.   While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D.   Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

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Correct Answer is C

Explanation

A. Obtaining a blood culture may be necessary in certain clinical contexts but is not the priority in this situation.
B. While kangaroo care is beneficial for newborns, it is not the priority when a newborn has a low Apgar score and may require immediate interventions.
C. Beginning resuscitative measures is the priority when a newborn has a low Apgar score at 5 minutes, as it indicates the need for interventions to support breathing and circulation.
D. Initiating IV fluid therapy may be necessary in some cases but is not the priority compared to addressing immediate resuscitative needs.

A. Minimize kangaroo care. B. Assess the axillary temperature every hour. C. Encourage skin-to-skin contact. D. Assess environment for sources of heat loss. E. Review maternal history. F. Bathe the neonate with warmer water.

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

Explanation

A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

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The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Correct Answer is C

Explanation

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

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

Explanation

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The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which guidelines might the nurse recommend? Select all that apply.

The nurse is performing a cognitive assessment on a 16-year-old client. Which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget's theory? Select all that apply.

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

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The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 in tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?