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?

Choice A rationale
Families that are isolated from other people, such as extended family, friends, and neighbors, are not typically considered a protective factor against adverse childhood experiences. Social isolation can actually increase the risk of mental health issues, as it can lead to feelings of loneliness and lack of social support.
Choice B rationale
Families where caregivers have college degrees or higher can often provide a more stable environment, both emotionally and financially. Higher levels of education are often linked to

better understanding of child development and more effective parenting strategies. Additionally, higher education is often associated with higher income, which can reduce stressors related to financial instability.
Choice C rationale
Families that include young caregivers or single parents can face additional stressors, such as financial strain and lack of social support, which can increase the risk of adverse childhood experiences. Therefore, this is not typically considered a protective factor.
Choice D rationale
Children who don’t feel close to their guardians and don’t feel loved are at a higher risk of developing mental health disorders. Feeling unloved and uncared for can lead to feelings of insecurity, low self-esteem, and difficulty forming healthy relationships later in life.

Choice A rationale

Insisting on having their own way when playing with friends is a common behavior among children and is not necessarily related to a traumatic experience. It could be a sign of a strong personality or a phase of development where the child is learning about power and control.
Choice B rationale
Crying because they are the smallest child in their class is more likely related to self-esteem or body image issues. This behavior is not typically associated with experiencing a traumatic event like a house fire.
Choice C rationale
Being rude to siblings when things do not go their way is a common behavior among children and is not necessarily indicative of a traumatic experience. It could be a sign of frustration or difficulty managing emotions.
Choice D rationale
Making small fires in the backyard could be a sign that the child is trying to make sense of or reenact the traumatic experience of their house being destroyed by a wildfire. This behavior is a cause for concern and should be addressed with professional help.