The nurse is planning care for an overweight adolescent. Which topic may also be appropriate for the nurse to include in the adolescent's plan of care?
1. Substance abuse
2. School phobia
3. Spiritual distress
4. Negative self-esteem
4
Explanation:
1. This is not the major mental health issue associated with obesity.
2. While the adolescent may dislike attending school, this is not the mental health problem the nurse should be evaluating.
3. Adolescents may have issues related to spirituality, but this is not associated with obesity.
4. Self-esteem is tied closely to body image, a common source of distress among obese adolescents. Therefore, the nurse will monitor the adolescent for issues with self-esteem.
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