A 15-year-old client is brought to a clinic by their parent, who reports frequent fatigue, withdrawal from family activities, and declining performance in school over the past two months. What is the most appropriate targeted screening to perform for this client?
Vision screening
Nutritional assessment
Hearing assessment
Depression screening
The correct answer is a depression screening because the client presents with classic signs of depression, such as fatigue, social withdrawal, and academic difficulties. Depression is a common concern in adolescents, and early detection through validated screening tools like the Patient Health Questionnaire (PHQ-9) is critical for initiating treatment. Vision screenings (incorrect answer) may be relevant if fatigue and school performance were attributed to visual impairments, but this is not supported by the information provided. A nutritional assessment (incorrect answer) might be appropriate if symptoms like weight loss, poor appetite, or physical complaints were present but is not the most relevant based on the described concerns. Hearing assessments (incorrect answer) are less likely to explain psychological or behavioral symptoms.
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