An adolescent hospitalized after a suicide attempt is due to be ...

[Anajune7]

An adolescent hospitalized after a suicide attempt is due to be discharged after a weeklong stay in the psychiatric unit. The nurse assessing this adolescent notices that the child has a dramatic lifting of the depression and seems cheerful.
 
  The nurse's best course of action is to do which of the following? a. Talk with the parents about the positive change in mood.
  b. Call the psychiatrist immediately to notify her of the mood change, and ask that the psychiatrist assess this adolescent prior to discharge.
  c. Wait until the parents come, do discharge teaching, and release the adolescent to go home.
  d. Watch the adolescent closely to see if this is a sign that the depression is truly resolved or if the adolescent is going into mania.

Question 2

The school nurse, on discovering any outbreaks of head lice, scabies, and pinforms, will teach the children to avoid:
 
  a. sitting next to infected children
  b. wearing head scarves or any head covering
  c. keeping their coats and hats on their desks and to instead hang them on the coat rack
  d. sharing and swapping clothing, as well as avoiding sharing personal items

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Answer to Question 1

B

Feedback
A Incorrect: This is not the best course of action because the adolescent's symptoms indicate a decision to commit suicide.
B Correct: This is the best course of action. A sudden change in affect for the better or a dramatic lifting of depression may be an indication that the adolescent has resolved the ambivalence about living or dying and has made the decision to commit suicide.
C Incorrect: This is not appropriate because this adolescent should be evaluated by the psychiatrist immediately and not released to go home until this has occurred. If the individual is not at high risk, she or he should be followed up closely.
D Incorrect: This is an incorrect action because the symptoms indicate a resolution to commit suicide and not movement into mania.

Answer to Question 2

D

Feedback
A Incorrect. Sitting next to infected children cannot result in outbreaks of head lice, scabies, pinforms, tinea corporis, and tinea capitis.
B Incorrect. The school nurse will teach that sharing head scarves is to be avoided, not wearing them.
C Incorrect. The school nurse will teach that sharing their coats and hats is to be avoided, not keeping them on their desk and hanging them on the coat rack.
D Correct. Sharing beds and linens and clothes as well as personal items such as combs can result in outbreaks of head lice, scabies, pinforms, tinea corporis, and tinea capitis.

[Anajune7]

Thanks for the timely response, appreciate it

[xiaomengxian]

Gracias!