A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?
The client still journals their feelings about their sister's death 7 years ago.
The client took courses online and experienced cyberbullying,
The client reports that they primarily eat fast food while living on a limited budget.
The client reports missing classes due to suffering from seasonal allergies.
The Correct Answer is B
B. Experiencing cyberbullying can have significant negative effects on an adolescent's mental health and well-being. Addressing cyberbullying promptly is crucial to ensuring the client's safety and mental health.
A. Journaling their feelings about their sister's death suggests that they are actively processing their emotions, which can be a healthy coping mechanism.
C. Addressing dietary habits and providing education on healthy eating is important but it may not be as urgent as addressing issues such as cyberbullying or mental health concerns.
D. While supporting the client with managing their allergies is important, it may not be the priority for immediate intervention compared to issues such as cyberbullying or mental health concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. The nurse should address the client's inappropriate and boundary-crossing behavior first. The client's statement, "Kiss me baby! You know you want to!" is suggestive and inappropriate in a professional healthcare setting. It indicates a lack of understanding or disregard for appropriate social boundaries and may be a manifestation of the client's serious mental illness.
A, B, D- While the client's vital signs (blood pressure, heart rate, respiratory rate, and temperature) and clothing choice (wearing a heavy coat and scarf in warm weather) may be important to assess and address, the immediate priority is to address the client's inappropriate behavior and ensure a safe and therapeutic environment for both the client and the nurse.
Correct Answer is C
Explanation
Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.
A Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.
B. SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.
D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.
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