Which data, noted by the nurse during the physical assessment, would indicate the need to refer an adolescent client for further treatment due to possible depression? Select all that apply.
1. Agoraphobia
2. Somatic complaints
3. Focus on violence
4. Poor self-care
5. Poor school performance
Question 2
While trying to inform a 5-year-old child about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. Which response by the nurse is age appropriate?
1. You must be so excited to have a new puppy They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room.
2. Redirect the child by saying, Please stop talking about your puppy. I need to tell you about your CT scan.
3. I'll come back when you are ready to talk with me more about your CT scan.
4. Ignore the information regarding the puppy and state, I need to teach you about going to the special room later today.
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