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

Choice A rationale

Mobile clinics improve access to health care by bringing services directly to underserved populations, reducing barriers such as distance and stigma while providing comprehensive care at a single convenient location.

Choice B rationale

Referring homeless clients to temporary housing addresses immediate shelter needs but does not inherently increase access to specialized health care services for mentally ill individuals in the community.

Choice C rationale

Distributing flyers provides information but is unlikely to effectively address systemic access barriers for homeless clients, such as transportation or trust issues when seeking health care services.

Choice D rationale

Soliciting donations for food and clothing supports basic needs but does not directly increase access to the specialized health care required by mentally ill homeless individuals.

Choice A rationale

Threatening harm to school peers indicates aggressive behavior but does not strongly correlate with suicide risk. Suicide risk typically stems from personal factors such as mental health or traumatic experiences.

Choice B rationale

Being between the ages of 15 and 19 is significant as adolescence is a vulnerable time for suicide; however, age alone is not the strongest predictor without other accompanying risk factors.

Choice C rationale

Depression combined with a history of sexual abuse represents critical suicide risk factors. Depression contributes to feelings of hopelessness, while trauma from abuse heightens emotional vulnerability significantly.

Choice D rationale

Animal abuse reflects violent tendencies but is not strongly correlated with suicidal ideation. It often indicates behavioral issues rather than mental health conditions directly linked to suicide risk.