Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?
a. States feelings of worthlessness and sadness everyday
b. Feels need to ride a bike around the tree in front of the house seven times every
day before entering the house
c. Recurrent episodes of chest pain, heart palpations, and shortness of breath when
entering the computer classroom
d. Deterioration of relationships with family members
B
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A Feelings of worthlessness and sadness are suggestive of a depressive disorder.
B Obsessive-compulsive disorder (OCD) manifests repetitive unwanted thoughts
(obsessions) or ritualistic actions (compulsions) or both.
C Panic disorders often cause recurrent episodes of chest pain, heart palpations,
and shortness of breath. These symptoms may be accompanied by a feeling of
impending doom.
D Deterioration of relationships with family members, irregular school attendance,
low grades, rebellious or aggressive behavior, and excessive dependence on peer
influence are behaviors that may indicate substance abuse.
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