Dante, a fifth grader, has come to the school nurse's office because he has a stomachache. The nurse assesses Dante and sees no physiological reason for a stomachache
The nurse attempts to send him back to class, but Dante asks if he can stay until after the spelling test. The nurse knows: 1. Dante is attempting to avoid the exam because of fear of failure.
2. Dante needs more time to rest.
3. Dante knows he will not get better and needs to go home.
4. Dante is worried he will get sick in the classroom.
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1. The stomachache is a somatic response because of fear of not being successful on an exam.
2. Rest is not needed for the child. Speaking about the issue would help to decrease the child's school phobia.
3. The stomachache is a somatic response, and going home will teach the child that it is acceptable to avoid exams.
4. The child is nervous and is avoiding the exam. He is not actually physically ill.
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