Which characteristics observed in an adolescent boy should always alert the community health nurse (CHN) to the possibility of suicide?

Correct Answer: B

Rationale: The correct answer is B. Questioning sexual orientation and history of depression are significant risk factors for suicide in adolescents. This indicates internal struggles and emotional distress. Choice A is incorrect as age alone is not a direct indicator of suicide risk. Choice C, threatening harm to peers, is concerning but does not directly relate to self-harm. Choice D, a history of torturing animals, is a sign of conduct disorder but not always indicative of suicidal ideation. In summary, questioning sexual orientation and history of depression are strong indicators of potential suicide risk in adolescents.

Correct Answer: B

Rationale: The correct answer is B, monitoring for signs and symptoms of depression. This is crucial in preventing depression in older persons as early detection allows for timely intervention. Choice A is incorrect as isolation in a nursing home may worsen depression. Choice C is not specific enough to target high-risk individuals. Choice D, while positive, doesn't address the need for active monitoring and intervention. Therefore, choice B is the best option for preventive action.

Correct Answer: C

Rationale: The correct answer is C: Migration and urbanization. Rationale: 1. Migration and urbanization led to overcrowded cities, resulting in a larger population needing care. 2. Urban areas lacked the close-knit community support found in rural settings, making it harder for families, friends, and neighbors to provide adequate care. 3. Increased mobility due to migration made it challenging for caregivers to stay connected with those in need of care, further straining caregiving approaches. Summary of other choices: A: Ongoing wars may have increased the need for caregiving but did not directly contribute to the inadequacy of caregiving approaches. B: Horrific plagues could have overwhelmed healthcare systems but did not address the changing dynamics of caregiving approaches. D: The need to pay caregivers is a different aspect of caregiving but did not directly contribute to the inadequacy of caregiving approaches during the Industrial Revolution.

Correct Answer: C

Rationale: The correct answer is C because seeking guidance from the supervisor is a step toward resolving the ethical dilemma, but the ultimate responsibility still lies with the CHN. Letting the supervisor decide does not absolve the CHN of accountability for the choice made. This option allows for further discussion and reflection, ensuring that the CHN remains engaged in the decision-making process. Choice A is incorrect because the supervisor is not solely responsible for the CHN's choices; the CHN must still take ownership of the decision. Choice B is incorrect as it assumes the supervisor has all the answers, overlooking the importance of the CHN's own critical thinking and problem-solving skills. Choice D is also incorrect as community priorities do not necessarily align with ethical decision-making in this context.

Correct Answer: A

Rationale: The correct answer is A because meeting with several groups about community recreation issues involves actively engaging with multiple disciplines to address a common health-related goal. This scenario demonstrates interprofessional collaboration by working with different professionals to promote community health. Choice B is incorrect as attending meetings at various health agencies may not necessarily involve collaboration with multiple disciplines. Choice C is incorrect as talking to several individuals about their health concerns does not necessarily involve interprofessional collaboration. Choice D is incorrect as watching television, even if it includes coverage of a city council meeting, does not involve active participation or collaboration with other professionals.