The nurse practitioner at a metropolitan college is seeing a 20-year-old student who presents at the student health center during finals week with vague complaints of "stomach problems."
The student tells the nurse practitioner that she broke up with her boyfriend in the first week of the semester and has not been feeling well or doing well in school since. What would the nurse practitioner be aware of?
A) The "stomach problems," may be cardiac related and she could be in danger.
B) The boyfriend is the core issue, and a plan of care that addresses his influence is important.
C) The girl is probably not telling the truth and could be in an abusive relationship.
D) The "stomach problems" are likely related to stress and depression.
Ans: D
Feedback: People who are depressed often seek health care for somatic manifestations of depression such as stomach problems, fatigue, and/or inability to cope with their activities of daily living, like work or school. Option A is a valid concern, but she has not been feeling well for a long period of time, and cardiac risk in low in this age group. Option B and C are incorrect; the situation requires an assessment first before the boyfriend is included in the diagnosis or we assume the girl is not telling the truth.
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