Since the divorce of parents 6 months ago, an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses. Which nursing intervention would be most therapeutic in this situation?
a. Ask the student to discuss what is happening on Fridays.
b. Call the student's parents to determine their view concerning the behavior.
c. Request that the school counselor invite the student's parents for a family meeting.
d. Arrange for an examination including diagnostic testing to rule out any medical illnesses.
C
The most effective action by the nurse would be to arrange for a family meeting to determine what is happening to cause the student to feel sick on Fridays. Directly asking the student may be too threatening, because there seems to be an inability to articulate concerns, except somatically. The medical examination is premature and outside the nurse's authority. A telephone call is a superficial intervention for serious adolescent maladaptive behavior.
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