A parent is concerned about her 8-year-old child's recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, has withdrawn from activities, and does not want to attend school

Which should the nurse explore in more detail with the parent? 1. Bullying
2. Sexual abuse
3. Lead poisoning
4. Drug abuse


1
Explanation:
1. Physical complaints, suicidal thoughts, and other problems can result from bullying.
2. Sexual abuse should be suspected if the child is experiencing vaginal discharge or excessive sexual curiosity for age.
3. Lead poisoning can lead to physical symptoms, including neurologic deficits, but would not include the signs of emotional distress that the child is exhibiting.
4. Drug abuse is more likely to occur in an adolescent than a child of this age.

Nursing

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A. A reduction in sympathetic stimulation B. Stimulation of coronary baroreceptors C. Activation of the renin-angiotension-aldosterone system D. Arterial vasodilation and subsequent increase in oxygen consumption

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