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 A
Explanation
Choice A reason: A score of 2 or more on the CAGE screening tool suggests clinically significant alcohol use and warrants further evaluation. The tool is designed to identify potential alcohol problems, and a score of 2 is the threshold for concern.
Choice B reason: A score of 0 or 1 is generally considered negative and may not require further evaluation unless other clinical signs are present. A score of 2 does not fall into this category.
Choice C reason: While a score of 2 may suggest mild alcohol use disorder, the CAGE tool itself does not diagnose severity. It is a screening instrument, and further assessment is needed to determine the level of disorder.
Choice D reason: This choice is incorrect because a score of 2 is not considered normal or indicative of no problems. It signals the need for further assessment.
Correct Answer is D
Explanation
Choice A reason: Beneficence refers to the ethical obligation to act in ways that promote the well-being of others. It emphasizes doing good and preventing harm but does not specifically address loyalty or truthfulness.
Choice B reason: Justice is the principle of fairness and equality in care delivery. It ensures that all patients are treated impartially but does not encompass loyalty or faithfulness.
Choice C reason: Respect involves honoring the dignity, autonomy, and rights of individuals. While it is a core ethical value, it does not specifically refer to being loyal or faithful.
Choice D reason: Fidelity is the ethical principle that emphasizes faithfulness, loyalty, and keeping promises. In nursing, it means being true to the commitments made to patients, maintaining trust, and upholding confidentiality. It directly reflects the concept of being true and loyal.
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