A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect?

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.

The correct answer is choice A. Providing quiet time during visits for prayer or meditation is an appropriate intervention for a client who has been diagnosed with end-stage breast cancer. This intervention helps the client reduce stress, anxiety, and promote spiritual well-being. The faith community nurse should aim to provide holistic care that addresses the physical, emotional, social, and spiritual aspects of the client's health. The nurse should be aware of the client's cultural and religious beliefs and support the client in a way that aligns with these beliefs.

Choice Bis not the correct answer. Hospice services should be recommended based on the client's wishes and not suggested without discussion with the client. The nurse should provide the client with information about all available options and allow the client to make an informed decision.

Choice Cis not the correct answer. Placing the client's name and medical condition on an online prayer chain violates the client's privacy and confidentiality. The nurse should respect the client's wishes regarding sharing health information.

Choice D is not the correct answer. The nurse should encourage the client to express feelings and concerns about their health status. The nurse should be an active listener and provide emotional support to the client.