During a health maintenance visit an adolescent states, "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which is the priority nursing action?
1. Stressing the importance of remaining in a close parent–child relationship during these stressful times
2. Promoting healthy mental health outcomes
3. Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
4. Helping the adolescent realize the value of postsecondary education
2
Explanation:
1. The parent–child relationship should not be used as a substitute for the development of new peer relationships.
2. The adolescent is obviously lonely with the move to the new school. The nurse should focus on appropriate coping skills, which will enhance good mental health outcomes for the child.
3. It would be more upsetting to the adolescent if the nurse made this comment.
4. It would not be appropriate to discuss the importance of a college education at this time because the adolescent must deal with the loss of friends and with developing new friends first.
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