A 14-year-old girl is concerned about her changing body.
Which nursing intervention is most appropriate?
Provide privacy and factual information about puberty.
Tell her the changes are not important.
Discourage discussions about body image.
Suggest she speak only with peers.
The Correct Answer is A
Choice A rationale
Providing privacy and factual information is crucial for adolescents navigating puberty. Privacy allows for open discussion without embarrassment, and accurate information addresses concerns, corrects misinformation, and normalizes physical changes. This empowers the adolescent to understand and accept their developing body.
Choice B rationale
Telling an adolescent that body changes are not important dismisses their valid concerns during a highly sensitive developmental period. Adolescence is marked by significant physical and psychological transformations, and body image is central to self-esteem and identity formation.
Choice C rationale
Discouraging discussions about body image can lead to internalized anxiety, self-consciousness, and a lack of accurate information. Open communication about body image concerns is vital for adolescents to develop a healthy self-perception and address any potential negative body image issues.
Choice D rationale
While peer support is valuable, suggesting an adolescent speak only with peers can limit their access to accurate information and professional guidance. Peers may share misinformation or reinforce unhealthy perspectives. A balanced approach involves parental/guardian and healthcare professional involvement alongside peer support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Low potassium (hypokalemia) and ECG rhythm changes, such as QT prolongation or arrhythmias, are critical and life-threatening complications of bulimia nervosa due to fluid and electrolyte imbalances from purging behaviors. Hypokalemia can directly impair cardiac function, necessitating immediate medical intervention to prevent fatal arrhythmias.
Choice B rationale
Erosion of dental enamel and constant vomiting are chronic manifestations of bulimia nervosa. While they indicate ongoing disordered eating and require dental intervention, they are not acutely life-threatening and do not represent the same level of immediate physiological instability as severe electrolyte imbalances affecting cardiac function.
Choice C rationale
Menstrual irregularities, including amenorrhea, are common in individuals with bulimia nervosa due to hormonal disruptions from malnutrition and stress. While indicative of chronic health impact, they are not an immediate life-threatening concern requiring emergency intervention compared to acute cardiac complications.
Choice D rationale
Calluses on knuckles (Russell's sign) and skin breakdown are physical signs of repeated self-induced vomiting. These are chronic cutaneous manifestations reflecting the mechanical trauma from purging. While they require attention, they are not acute physiological emergencies demanding immediate intervention.
Correct Answer is D
Explanation
Choice A rationale
While transgender individuals face unique challenges that can impact mental health, global statistics consistently show that male individuals as a demographic group have the highest completed suicide rates. This choice does not reflect the broader epidemiological data on suicide mortality across sexes.
Choice B rationale
Non-binary individuals, similar to transgender individuals, experience significant stressors that can contribute to mental health issues. However, when examining global suicide rates categorized by sex, the data predominantly indicates that males have higher completed suicide rates compared to other gender identities.
Choice C rationale
Globally, female individuals tend to have higher rates of attempted suicide and suicidal ideation, but male individuals consistently have higher completed suicide rates. This disparity is often attributed to males using more lethal means and potentially less frequent seeking of mental health support.
Choice D rationale
Globally, male individuals consistently exhibit a higher completed suicide rate compared to female individuals. This phenomenon is observed across various cultures and is often linked to factors such as higher use of lethal methods, societal pressures, and potentially lower rates of seeking mental health assistance.
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