A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. The girl also argues with her younger sister more than she did in the past, and does not like participating in family activities anymore. Which of the following is the best initial response from the nurse?
A) "The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?"
B) "Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?"
C) "Is there any history of psychological disorders in your family?"
D) "Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?"
Correct Answer:
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