A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move.
Which of the following interventions should the nurse implement?

Recommend the client obtain a part-time job.

Schedule an appointment with a school-based counselor.

Arrange a visit with a neurologist.

Encourage the client to engage in more physical activity.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Recommending the client obtain a part-time job may not be the most effective intervention for an adolescent experiencing depression due to a recent move. While employment can provide a sense of purpose and routine, it may also add additional stress and responsibilities that could potentially exacerbate the client’s depression.
Choice B rationale
Scheduling an appointment with a school-based counselor is the most appropriate intervention. School-based counselors are trained to provide emotional support and therapeutic interventions to students dealing with various issues, including depression. They can provide a safe space for the client to express their feelings and can help them develop coping strategies to manage their depression.
Choice C rationale
Arranging a visit with a neurologist is not the most appropriate first intervention. While neurologists can provide treatment for neurological conditions, they are not typically the first point of contact for managing depression.
Choice D rationale
Encouraging the client to engage in more physical activity can be beneficial as exercise has been shown to have a positive effect on mood. However, it may not be sufficient as the sole intervention for an adolescent experiencing depression

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Correct Answer is A

Explanation

Choice A rationale
Paroxetine is a type of selective serotonin reuptake inhibitor (SSRI) that is commonly prescribed for the treatment of PTSD6. It works by increasing the levels of serotonin, a neurotransmitter that helps regulate mood, in the brain.
Choice B rationale
Semaglutide is a medication used to control blood sugar levels in people with type 2 diabetes. It is not typically used in the treatment of PTSD.
Choice C rationale
Tramadol is a prescription pain medication used to treat moderate to severe pain. While it can help manage physical symptoms that may accompany PTSD, it is not typically used as a primary treatment for the disorder.
Choice D rationale
Zaleplon is a medication used to treat insomnia. While it can help manage sleep disturbances that may accompany PTSD, it is not typically used as a primary treatment for the disorder.

A. “I am sorry about the trauma you and your family experienced.”. B. “Did this trauma occur when you were a young child?” C. “It must be difficult to appear that you are…” D. “I understand the impact of historical trauma on your family.”.

Correct Answer is D

Explanation

Choice A rationale
While expressing empathy is important, this response does not demonstrate an understanding of the concept of historical trauma. Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event.

Choice B rationale
This response is not appropriate as it attempts to pinpoint the trauma to a specific time in the client’s life. The client is referring to a historical trauma that affected their ancestors and continues to impact their family.
Choice C rationale
This response is vague and does not address the client’s statement about the impact of historical trauma on their family.
Choice D rationale
This is the correct response. By stating that they understand the impact of historical trauma, the nurse acknowledges the long-term effects of traumatic events that occurred in the past and continue to affect the client’s family.

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A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has posttraumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications?

Correct Answer is A

Explanation

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

Correct Answer is D

Explanation

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A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

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A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move.
Which of the following interventions should the nurse implement?