The mother of a 6-year-old boy reports that the child has had increasing somatic complaints that have no physical basis and disappear when he is allowed to remain home from school. The nurse should suspect what?
A) The child has oppositional defiant disorder.
B) The child has a school phobia.
C) The child has ADHD.
D) The child has a developmental disorder.
Ans: B
The child's wanting to remain home from school may be an example of parents' explanations for some behaviors. The data in the question indicate an ongoing and progressive problem. Some aspects of the school experience are feared by the child. Separation anxiety is thought to play a role in this disorder. The data neither indicate ADHD nor suggest childhood developmental disorder.
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