A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, what comment by a parent would cause concern?

Correct Answer: B

Rationale: Correct Answer: B Rationale: - Choice B shows a parent's assumption that intelligence alone can prevent teenage pregnancy, ignoring the influence of peer pressure and emotions. - Intelligence does not always protect teenagers from engaging in risky behaviors like unprotected sex. - This comment reflects a lack of understanding of the complex factors contributing to teenage pregnancy, potentially leading to a false sense of security. - It is crucial for parents to have open and honest discussions about relationships and sexuality with their children, regardless of their intelligence level.

Correct Answer: B

Rationale: The correct answer is B because monitoring for signs and symptoms of depression allows for early detection and intervention. This proactive approach helps in addressing the issue promptly, preventing it from worsening. Encouraging moving to a nursing home (A) may not necessarily decrease the risk for depression as it can lead to feelings of isolation. Organizing an exercise program (C) is beneficial but may not directly address the root cause of depression. Teaching clients to focus on strengths (D) is positive but may not be sufficient in preventing depression. Monitoring for signs and symptoms is crucial for timely intervention.

Correct Answer: C

Rationale: The correct answer is C: Establishing support groups for caregivers of older parents. This is the best choice for secondary prevention as it involves providing a structured support system for caregivers to share their experiences, receive emotional support, and learn coping strategies. Support groups can help caregivers feel less isolated, provide a sense of community, and offer practical advice in managing caregiving stress. Choice A may help in addressing caregiver stress but lacks the comprehensive support provided by a support group. Choice B is a good suggestion for self-care, but it does not offer ongoing support or address the underlying stressors. Choice D involves delegating tasks but may not address the emotional and psychological needs of the caregiver like a support group would.

Correct Answer: A

Rationale: The correct answer is A: Her friends were suggesting ways to make the problem go away. This is the most typical reason for a teenager to delay prenatal care because peer influence can lead to denial or avoidance of the pregnancy. The other choices are incorrect: B: She knew she could not be pregnant because her boyfriend said he used a condom - This is not a common reason as relying solely on a partner's claim is risky. C: She was afraid her parents would pressure her to terminate the pregnancy - While this could be a reason, it is not as common as peer influence. D: She kept hoping the pregnancy would just go away - This is an unrealistic expectation and not a common reason for delaying prenatal care.

Correct Answer: A

Rationale: The correct answer is A because being supportive in any way possible is essential in caring for very poor families. As a nurse, offering emotional support, empathy, and understanding can help build trust and rapport with the family, leading to better health outcomes. Choice B is incorrect because while educating families on free health resources is important, it may not address the immediate needs of very poor families who may require more practical support. Choice C is incorrect because offering medication samples may not always be feasible or sustainable. It is crucial to consider the long-term implications and potential ethical issues related to providing free medication samples. Choice D is incorrect because recognizing the family's poverty should not mean refraining from discussing payment options. Open communication regarding financial constraints can help in finding solutions and ensuring the family receives the care they need.