A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

"I have not used drugs in 6 weeks."

"I have been participating in my local YMCA after-school dance program again."

"I don't have anyone I can talk to about my problems."

"I think that I missed two math tutoring classes last week, but I can still catch up."

Answer and Explanation

The Correct Answer is C

C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.

A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.

B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.

D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.

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Correct Answer is C

Explanation

C. Psychiatric pharmacogenomic testing involves analyzing an individual's genetic makeup to predict their response to psychiatric medications. This testing provides healthcare providers with information about how an individual's genetic variations may impact their metabolism of medications.

A. Psychiatric pharmacogenomic testing can inform treatment decisions but it does not determine the likelihood of a cure. Mental illness is complex and often requires multimodal treatment approaches beyond medication alone.

B. Pharmacogenomic testing can provide information about how an individual's genetics may interact with specific medications but it primarily focuses on identifying which medications are likely to be most effective for the individual, rather than interactions between medications.

D. Psychiatric pharmacogenomic testing does not determine the cause of mental illness. Mental illnesses are multifactorial and have complex etiologies involving genetic, biological, environmental, and psychosocial factors.

A. Ensure the client goes to group activities as planned. B. Give PRN medications to treat increased hallucinations. C. Use distraction such as the television or music. D. Provide reassurance and comfort ensuring the client is safe.

Correct Answer is D

Explanation

D. It emphasizes the importance of addressing the client's immediate emotional and psychological needs. Reassurance and comfort can help alleviate the client's distress and promote a sense of security, which is essential for their well-being.

A. Participation in group activities may be beneficial for some clients with schizophrenia but it is not the priority when the client is experiencing confusion and distortions in thinking.

B. Medication management is an important aspect of caring for clients with schizophrenia. However, the decision to administer PRN medications should be based on a comprehensive assessment of the client's symptoms and needs.

C. Distraction techniques may be helpful for managing symptoms of anxiety or agitation in some clients, but they are not the priority.

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A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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