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 B

Explanation

Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.

A. A 6-year-old who says, “My mom is mean because I can’t have a dog.”. B. A 12-year-old who failed an algebra test. C. A 13-year-old who forgot their lunch at home. D. A 7-year-old who has a parent who is in prison.

Correct Answer is D

Explanation

Choice A rationale
A child expressing that their parent is mean because they can’t have a dog does not constitute an adverse childhood experience (ACE). This is a common situation where a child might be upset due to not getting what they want, but it does not indicate any form of abuse, neglect, or household dysfunction that are typically associated with ACEs.
Choice B rationale
Failing an algebra test is a part of the academic challenges that students face and does not constitute an ACE. While it can be a source of stress for the child, it is not an indicator of abuse, neglect, or household dysfunction.

Choice C rationale
Forgetting lunch at home is a common occurrence among children and does not indicate an ACE. It could be a simple oversight or a result of a chaotic morning routine. It does not suggest abuse, neglect, or household dysfunction.
Choice D rationale
Having a parent who is in prison is considered an ACE. This situation falls under the category of household dysfunction. The incarceration of a parent can lead to a loss of financial stability, emotional support, and the social stigma associated with it can lead to feelings of shame and isolation for the child.

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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 on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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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?