A student had been absent 4 days out of the last 3 weeks. When the school nurse asked what was wrong, the student replied, "Headaches" in a rather angry tone. The student had previously been heard to complain that school was boring and it was hard to concentrate on such dumb stuff. Which of the following actions would be most appropriate for the nurse to take next?

a. Emphasize the importance of completing school for lifelong success
b. Express concern that the student was under a lot of stress and offer to help if possible
c. Meet with the student's parents to discuss the headaches and the school absences
d. Refer the student to a neurologist for a workup to see what is causing the headaches


ANS: B
Warning signs of stress include angry or hostile feelings, inability to concentrate, increased boredom, frequent headaches or other ailments, and inconsistent school attendance.

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