Which of the following adolescents is at the greatest risk of suicide?
A 15-year-old girl with a history of generalized anxiety
A 16-year-old boy whose girlfriend of 2 years recently ended their relationship but does not show signs of depression
A 17-year-old boy who has never had a previous suicide attempt but who recently came out as homosexual
A 16-year-old girl who was recently diagnosed with depression
The Correct Answer is C
Choice A rationale: While generalized anxiety disorder is a significant mental health concern, it generally carries a lower immediate risk for suicide compared to specific populations facing acute social rejection, identity crises, or systemic lack of support.
Choice B rationale: A recent breakup is a stressful life event that can trigger emotional distress. However, the absence of depression or other co-occurring mental health symptoms statistically lowers this individual's risk compared to other high-risk groups.
Choice C rationale: LGBTQ+ adolescents, particularly those who have recently come out, face a significantly higher risk of suicide due to potential lack of family acceptance, bullying, and social stigma. This population experiences much higher rates of suicidal ideation.
Choice D rationale: A diagnosis of depression is a major risk factor for suicide. However, statistical data consistently shows that the combination of adolescent development and the stressors associated with identifying as a sexual minority creates an even higher risk profile.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While this response emphasizes treatment, it dismisses the patient’s concern about causality. Understanding the interplay between depression and substance use is important for therapeutic engagement and individualized care.
Choice B reason: This response acknowledges the complexity of comorbid conditions and validates the patient's question. It reflects current understanding that depression and substance use disorder often co-occur and influence each other in multifactorial ways, including genetic, environmental, and psychological factors.
Choice C reason: This response assumes a unidirectional causality that may not be accurate. While depression can lead to substance use as a coping mechanism, it is not universally the cause in all cases.
Choice D reason: Similarly, this response assumes that substance use disorder led to depression. Although substance-induced depression is common, it is not always the primary cause. A more nuanced understanding is needed.
Correct Answer is B
Explanation
Choice A reason: This statement is dismissive and lacks clinical and legal assessment. Competence cannot be determined over the phone or without a formal evaluation. It also assumes facts not in evidence.
Choice B reason: Competence is a legal determination made by a judge, not a medical provider. While clinicians can assess decision-making capacity, they cannot declare someone legally incompetent. This response is accurate and maintains professional boundaries.
Choice C reason: This statement implies agreement with the son’s concern without proper evaluation. It may be interpreted as bias and could compromise the therapeutic relationship or legal standing.
Choice D reason: While offering a referral is helpful, it does not address the core issue of legal authority. The PMHNP must clarify that competence is a legal matter, which is best done in option B.
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