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 B
Explanation
Choice A rationale
While sadness can be a symptom of many mental health issues in children, it is not typically considered a warning sign of violence.
Choice B rationale
Use of alcohol is a warning sign of violence in children. Substance abuse can impair judgment, increase impulsivity, and lead to aggressive behavior.
Choice C rationale
Relationship difficulties can be a symptom of many mental health issues in children, but they are not typically considered a warning sign of violence.
Choice D rationale
Though thought disorders can lead to behavioral problems, they are not directly associated with violence in children.
Correct Answer is A
Explanation
Choice A rationale
Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement “her car is gray, and her dog died last week” could be an example of this, as the two ideas are unrelated.
Choice B rationale
Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client’s statement.
Choice C rationale
Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client’s statement might seem to have loose associations, it is more indicative of flight of ideas.
Choice D rationale
Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client’s statement is not an example of this, as it is brief and does not contain unnecessary details.
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