What is a warning sign that an adolescent may be struggling with self-esteem issues?

Active peer interaction.

Isolation and negative body image.

Choosing healthy foods.

Frequent tantrums.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Active peer interaction generally indicates healthy social development and positive self-esteem in adolescents. Engagement with peers often provides opportunities for validation, belonging, and the development of social skills, all of which contribute positively to an individual's self-perception and confidence, rather than signaling struggles with self-esteem.

Choice B rationale

Isolation and negative body image are significant warning signs of self-esteem issues. Isolation indicates a withdrawal from social engagement, potentially due to feelings of inadequacy or fear of judgment. A negative body image reflects dissatisfaction with one's physical appearance, often leading to feelings of shame, anxiety, and low self-worth, which are central to poor self-esteem.

Choice C rationale

Choosing healthy foods is typically associated with positive health behaviors and a sense of self-care, which can be indicative of a healthy self-image and good self-esteem. Individuals with high self-esteem are more likely to prioritize their well-being and make choices that benefit their physical and mental health.

Choice D rationale

Frequent tantrums are more characteristic of younger children struggling with emotional regulation rather than adolescents with self-esteem issues. While adolescents can exhibit emotional outbursts, prolonged and frequent tantrums are less specific to self-esteem and more indicative of broader emotional or behavioral dysregulation issues in this age group.

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Correct Answer is C

Explanation

Choice A rationale

The passageway refers to the birth canal, including the pelvis and soft tissues. While an adequate passageway is essential for labor progression, the client's current cervical dilation (7 cm) and effacement (80%) indicate that the passageway is accommodating fetal descent, and there is no direct evidence from the scenario suggesting an issue with this factor.

Choice B rationale

The passenger refers to the fetus, including its size, presentation, lie, and attitude. There is no information in the scenario to suggest any concerns with the fetus itself, such as malpresentation or distress. The focus of the client's statement is on their emotional state rather than a physical aspect of the baby.

Choice C rationale

Psyche refers to the client's psychological and emotional state during labor. The client's statement "I am really afraid of giving birth" and subsequent crying directly indicate significant fear and anxiety. This emotional distress can negatively impact labor progression by increasing catecholamine release, potentially hindering uterine contractions and increasing pain perception, thus requiring immediate attention.

Choice D rationale

Powers refer to the uterine contractions (primary power) and the mother's pushing efforts (secondary power). While effective powers are crucial for labor progression, the scenario does not provide information to suggest that the client's contractions are inadequate or that there's an issue with her ability to push. The immediate concern presented is her emotional state.

A. Patient denies suicidal thoughts today. B. Patient requested to sleep alone with the door closed. C. Patient ate lunch with peers and laughed. D. Patient states sadness began after pet died.

Correct Answer is B

Explanation

Choice A rationale

A patient denying suicidal thoughts today is a positive sign and suggests a temporary reduction in immediate risk. However, it does not negate the overall risk given a recent admission for suicidal ideation. Continuous monitoring and assessment are still required, as suicidal ideation can fluctuate. This statement provides a baseline but needs to be evaluated in the context of ongoing assessment.

Choice B rationale

A patient requesting to sleep alone with the door closed signifies a potential for isolation and an increased opportunity for self-harm, especially in a psychiatric setting where close observation is crucial for individuals with suicidal ideation. This statement demands immediate follow-up to assess the patient's current mental state, ensure safety, and implement appropriate suicide precautions.

Choice C rationale

A patient eating lunch with peers and laughing indicates positive social engagement and an improvement in mood. This is a favorable sign, suggesting a reduction in immediate distress and an increased capacity for social interaction, which is therapeutic. While continued monitoring is necessary, this statement does not require immediate follow-up for safety concerns related to suicidal ideation.

Choice D rationale

A patient stating sadness began after a pet died provides valuable insight into a potential trigger for their suicidal ideation. This information is important for therapeutic intervention and processing grief. While this is a significant piece of information, it is historical data that informs care planning rather than an immediate safety concern requiring urgent intervention compared to a direct request for isolation.

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What is a warning sign that an adolescent may be struggling with self-esteem issues?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is reviewing documentation for a 10-year-old admitted for suicidal ideation. Which statement requires immediate follow-up?

Correct Answer is B

Explanation

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