A 10-year-old boy repeatedly complains of an upset stomach and has missed several days of school.
All labs and x-rays relevant to his abdominal discomfort have been normal.
What disorder might this boy have?
Anxiety disorder
Acute stress disorder
Personality disorder
Somatoform disorder . .
The Correct Answer is D
Choice A rationale
While anxiety disorder can cause physical symptoms such as stomach aches, the fact that all labs and x-rays relevant to his abdominal discomfort have been normal suggests that the boy’s symptoms may not be due to anxiety.
Choice B rationale
Acute stress disorder is characterized by severe anxiety, dissociative, and other symptoms that occur within one month after exposure to an extreme traumatic stressor. Given the information provided, it is unlikely that the boy’s stomach aches are due to acute stress disorder.
Choice C rationale
Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. Given the information provided, it is unlikely that the boy’s stomach aches are due to a personality disorder.
Choice D rationale
Somatoform disorders are characterized by physical symptoms that suggest physical illness or injury, but which cannot be explained fully by a general medical condition. Given that the boy’s stomach aches persist despite normal lab and x-ray results, a somatoform disorder may be a possible explanation. SchizophreniaSchizophrenia Explore
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Being defensive is a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are being defensive.
Choice B rationale
Using stereotyped responses can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are using stereotyped responses.
Choice C rationale
Challenging is the most appropriate answer. The nurse’s question could be seen as challenging the client’s statement about their plan to kill themselves.
Choice D rationale
Failure to explore the client’s point of view is a nontherapeutic communication technique, but it’s not the most fitting description for the scenario. The nurse’s question doesn’t necessarily indicate a failure to explore the client’s point of view. Explore
Correct Answer is D
Explanation
When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient’s personal space and can help de-escalate potential agitation or aggression.
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