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. Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs or magical thinking, unusual perceptual experiences, and social and interpersonal deficits. Individuals with this disorder may exhibit peculiar or paranoid beliefs, such as believing they have special powers or abilities like mind-reading, as described in the scenario.

A. Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with this disorder may engage in behaviors such as deceitfulness, impulsivity, aggression, and lack of remorse.

B. Paranoid personality disorder is characterized by a pervasive distrust and suspicion of others, leading to interpersonal difficulties and a heightened sense of threat or persecution.

D. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions and situations.

A. Carbamazepine B. Haloperidol C. Olanzapine D. Escitalopram

Correct Answer is D

Explanation

D. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used in the treatment of anxiety disorders, including illness anxiety disorder (formerly known as hypochondriasis). It helps alleviate symptoms by increasing serotonin levels in the brain, which can improve mood and reduce anxiety.

A. Carbamazepine is an anticonvulsant medication primarily used in the treatment of seizure disorders, bipolar disorder, and certain types of neuropathic pain. It is not typically used as a first-line treatment for illness anxiety disorder.

B. Haloperidol is a first-generation antipsychotic medication used in the treatment of schizophrenia, psychotic disorders, and severe agitation. It is not typically used as a first-line treatment for illness anxiety disorder,

C. Olanzapine is a second-generation antipsychotic medication used in the treatment of schizophrenia, bipolar disorder, and certain types of depression. Like haloperidol, it is not typically used as a first-line treatment for illness anxiety disorder

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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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