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2022 HESI EXIT RN V1 EXAM [ NEW ] (3).

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2022 HESI EXIT RN V1 EXAM [ NEW ] (3).

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Running head: ADVANCED CLINICAL PRACTICE WITH COMPLEX PROBLEMS 1




Assignment 6




Peng Wang

University Of South Florida

SOW 7616




Dr. Alison Salloum, Ph.D.

Date

,ADVANCED CLINICAL PRACTICE WITH COMPLEX PROBLEMS 2


Assignment 6: Advanced Clinical Practice with Complex Problems

Background

Mental health has been the focus of many studies, health initiatives, and programs for

decades due to the detrimental impact. However, regardless of the health concern being prevalent

across all ages, races, and genders, researchers have paid little attention to mental health in the

adolescent stage. Understandably, adolescent psychological needs have received minimal focus

due to the assumption that children in that stage have little exposure to stressful or traumatic

experiences unless they are brought up in a violent environment. Furthermore, children in the

adolescent stage undergo rapid emotional and psychological changes, and so, it is challenging to

different mental issues related to the life stage and other stressors. Nonetheless, adolescents are

prone to psychological stressors, as exemplified by the increasing suicide cases, drug and

substance abuse, violence, and sexual immorality.

China has experienced remarkable economic and social developments in the recent few

decades. Nevertheless, studies have identified a worrying trend in teenage psychological health

across the country. For example, a National Mental Health Development study sampled 15846

adolescents from grades 4 to 12 and identified that a significant number had mental health issues

and emotional difficulties (Fu et al., 2021). Other studies have determined high anxiety levels

and emotional distress among elementary, middle, and high school students. The disquieting

reality of teenage mental and emotional struggles contrasts the latest findings that indicated a

rising mental health literacy among Chinese citizens in the last decade (Chen et al., 2021).

Mental health experts suggest that the contrasting findings are due to the limited psychological

knowledge in schools and families resulting from a shortage of psychiatrists nationwide.

, ADVANCED CLINICAL PRACTICE WITH COMPLEX PROBLEMS 3


Further studies on mental and emotional difficulties among adolescents in china have

identified stressing school environments as the primary triggers of stress and suicidal thoughts.

According to Ping (2018), about 95.5 percent of high school students in China had stress

symptoms resulting from the stressful academic environment and pressure from the high family

expectations. The high prevalence rates are alarming considering that china has approximately

230 million K12 students (宗政, n.d). Therefore, there is an urgent need to develop feasible

interventions since the country risks a series of extremist behaviors such as violence and suicide

if the issue is left unattended. Furthermore, based on the Centers for Disease Control and

Prevention (2009) guidelines, psychological and emotional stress among students and

adolescents can be addressed by increasing psychological knowledge in families and schools.

Risk Factors and Protective Factors

Risk Factors

The primary factor leading to psychological and emotional difficulties among K12

students in China is the poor teacher-student and peer relationships. According to Li et al. (2020),

poor relationships are associated with depressive tendencies, low self-esteem, and anxiety, thus

leading to mental stress. Often, poor relationships lead to segregation that develops loneliness

and depression. Li et al. (2020) affirm that positive teacher-student and peer interactions promote

students' wellbeing as they help them build resilience to counter negative life experiences.

However, the aggression and oppositional behaviors often displayed by adolescents experiencing

challenging life events deteriorate negative relationships and consequently extend the risk of

psychological and emotional difficulties. Undeniably, the mental and emotional struggle due to

poor relationships negatively impacts academic performance and social growth.

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