A mother brings in her 2-year-old daughter to be evaluated for blood in her urine. The mother brings in a urine specimen that appears to have blood in it
When completing the admission assessment, the nurse notes that the patient was admitted as an observation patient two weeks ago with the same complaint, but all studies were negative. When the nurse questions the mother about the previous admission, the mother insists that her daughter's condition has remained unchanged. The nurse suspects which of the following disorders? 1. Urinary tract infection
2. Post-traumatic stress disorder
3. Munchausen syndrome by proxy
4. Schizoaffective disorder
3
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1. The child is not demonstrating signs of urinary tract infections.
2. The child does not demonstrate signs of post-traumatic stress disorder.
3. Munchausen syndrome by proxy is when a caregiver, usually the mother, attempts to make the child appear ill. The caregiver may put blood in the child's urine, stool, or vomit, or report fake symptoms to health-care providers. The child may be admitted to the hospital for diagnostic tests.
4. The child does not demonstrate psychiatric issues.
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