The public health nurse is working with an at-risk adolescent. Which statement made by the adolescent demonstrates locus of control?

Choice A reason: Costs aren’t low; U.S. spends high with mixed health outcomes. This errors per public health data. It’s universally distinct, contradicting actual cost and health indicator trends.

Choice B reason: U.S. has the highest health costs globally, yet health indicators lag. This aligns with nursing knowledge. It’s universally recognized, distinctly accurate per current health economics.

Choice C reason: Health indicators aren’t tops despite high costs; this is false. This misaligns with public health facts. It’s universally distinct, errors in outcome assessment.

Choice D reason: Costs aren’t low, and outcomes aren’t solely poor due to cost. This errors per health data. It’s universally distinct, misrepresenting U.S. health care reality.

Choice A reason: HPV causes warts with a cauliflower-like, elevated growth due to viral-induced epidermal hyperplasia. Types 6 and 11, for instance, trigger keratinocyte proliferation, forming rough, clustered lesions, a hallmark distinguishing them from other skin infections biologically and clinically in appearance consistently.

Choice B reason: Vesicles ulcerating in 1-4 days describe herpes simplex, not HPV. Herpes viruses cause fluid-filled blisters that burst and crust rapidly due to viral cytopathic effects, differing from HPV’s chronic, proliferative growth pattern without ulceration typically seen in lesions.

Choice C reason: Thin-walled pustules with honey-colored crusts typify impetigo, a bacterial infection from Staphylococcus or Streptococcus. Unlike HPV’s viral, warty growths, these result from pus-filled lesions rupturing, lacking the proliferative, cauliflower-like structure HPV induces in skin tissue distinctly over time.

Choice D reason: Solitary growths with elevated borders and central depression suggest basal cell carcinoma, not HPV. This cancer arises from UV-damaged basal cells, forming a pearly nodule, contrasting HPV’s viral, multi-clustered warts without malignant transformation or central depression typically observed clinically.