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
3, 4, 5
Explanation:
1. Agoraphobia, which is a fear of being in places or situations from which escape might be difficult or embarrassing, is seen in children with a panic disorder, not with depression.
2. Somatic complaints are more commonly associated with depression in the younger school-age child.
3. Focus on violence can be associated with depression in the adolescent.
4. Poor self-care can be associated with depression in an adolescent.
5. Poor school performance is associated with depression in the adolescent with depression.
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