A mother brings her 11-year-old son to the pediatric clinic for investigation of stomach complaints. The mother says that for the last two months, the child has complained of abdominal pain three to four mornings per week
The mother states the child usually complains on school days and always seems to be better by afternoon. The child was able to attend a weekend Boy Scout camp without difficulty but has missed several days of school due to complaints. The nurse would suspect which mental health disorder? 1. Separation anxiety
2. Depression
3. School phobia
4. Bipolar disorder
3
Rationale 1: Separation anxiety is most common in girls between the ages of seven and nine and may be accompanied by depression when separated. The child was able to successfully separate for a non-school activity.
Rationale 2: Depression is often manifested by sleep issues, avoidance of social interactions, and low energy.
Rationale 3: The child is using somatic complaints to avoid attending school.
Rationale 4: Bipolar disorder involves periods of hyperactivity alternating with periods of lethargy.
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1. Arrange an agreement with law enforcement regarding these types of clients. 2. Discuss the situation with law enforcement. 3. Develop a team of staff who would be on call for these types of situations. 4. Organize a training program to educate staff on how to manage these types of situations.
A group of grade-school children is going camping. Which information should the school nurse provide to prevent Lyme disease?
A) "Don't approach strange animals outside the campsite.". B) "Don't touch any bush without knowing what kind it is.". C) "Don't drink water from mountain streams while hiking.". D) "Wear jeans tucked inside your socks when in the woods.".
A nurse is working in a busy emergency department of an urban hospital. The family of a patient brought in by ambulance asks the nurse what the doctor meant when he or she said that the patient was coding
In this situation, the word coding is an example of which of the following? a. Denotative meaning b. Connotative meaning c. Intonation d. Pacing
Which of the following best describes how providers can legally improve their profit under the current reimbursement process?
a. Accept more patients and work more hours so former high income is retained b. Order the cheapest generic medications and treatments possible c. Convince patients that they do not want expensive treatments d. Practice conservatively to earn an incentive payment