A school-age client presents to the pediatric clinic with a history of abdominal pain 3 to 4 mornings per week over the last 2 months. The mother states the child usually complains on school days and always seems to be better by afternoon. Which mental health disorder does the nurse suspect?

Question

1. Separation anxiety
2. Depression
3. School phobia
4. Bipolar disorder

Answer 1

3
Explanation:
1. Separation anxiety is most common in girls between the ages of 7 and 9 and may be accompanied by depression when separated. The child was able to successfully separate for a nonschool activity.
2. Depression is often manifested by sleep issues, avoidance of social interactions, and low energy.
3. The child is using somatic complaints to avoid attending school.
4. Bipolar disorder involves periods of hyperactivity alternating with periods of lethargy.