An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "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 of these takes priority when speaking with the adolescent? 1. Helping the adolescent realize the value of post-secondary education
2. Promotion of healthy mental health outcomes
3. Acknowledgement of the fact that it takes several months to make new friends at a new school, due to adolescent exclusion behaviors
4. The adolescent should consider the importance of remaining in a close parent–child relationship during these stressful times.
2
Rationale:
1. It would not be appropriate to discuss the importance of a college education at this time, since the adolescent must deal with the loss of friends and developing new friends first.
2. The adolescent obviously is lonely with the move to the new school. The nurse should focus on appropriate coping methods that will enhance good mental health outcomes for the child.
3. The nurse should focus on appropriate coping methods that will enhance good mental health outcomes for the child, not rationalizing the situation.
4. The parent–child relationship should not be used as a substitute for the development of new peer relationships.
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