The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

"Are you having concerns about depression in your son?"

"If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist."

"Screening in at risk teens should be completed annually after age 14."

"Children should be screened for depression every year beginning at age 11."

Answer and Explanation

The Correct Answer is D

A.   While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B.   Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C.   While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D.   Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

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Correct Answer is C

Explanation

A. Obtaining a blood culture may be necessary in certain clinical contexts but is not the priority in this situation.
B. While kangaroo care is beneficial for newborns, it is not the priority when a newborn has a low Apgar score and may require immediate interventions.
C. Beginning resuscitative measures is the priority when a newborn has a low Apgar score at 5 minutes, as it indicates the need for interventions to support breathing and circulation.
D. Initiating IV fluid therapy may be necessary in some cases but is not the priority compared to addressing immediate resuscitative needs.

A. Children with health issues, such as, disabilities, obesity, and food allergies, are at a decreased risk of being bullied. B. Both boys and girls are bullied; boys usually bully boys and use force more often. C. Children who bully are those who report themselves as being lonely and having difficulty in forming friendships. D. In general, about 20% of all children attending school are frightened and afraid most of the day.

Correct Answer is B

Explanation

A. Children with health issues may actually be at an increased risk of being bullied due to differences in appearance or ability.
B. Both boys and girls are bullied, but they may experience different types of bullying. Boys usually bully boys and use physical force more often, while girls may bully girls or boys and use verbal or relational aggression more often.
C. Children who bully are not necessarily those who are lonely or have difficulty in forming friendships. Some children who bully may have high self-esteem, popularity, or social power. They may bully to dominate, control, or impress others.
D. This statement may not accurately reflect the prevalence of fear among school children and does not address the developmental concern of bullying.

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The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Correct Answer is C

Explanation

The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?

Correct Answer is B

Explanation

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

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