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?

Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.

Choice A rationale:
Introspection is the process of examining one's own thoughts, feelings, and emotions to gain self-awareness and understanding. During adolescence, introspection is a critical part of developing a sense of identity and self-concept.
Choice B rationale:
Extroversion refers to a personality trait characterized by sociability, assertiveness, and the tendency to seek external stimuli. While it may play a role in social interactions during adolescence, it does not specifically describe the process of examining one's emotions, values, and behaviors.
Choice C rationale:
Maturation is the process of growth and development over time. While maturation is essential during adolescence, it is a broader concept that encompasses various aspects of development, not just self-examination.
Choice D rationale:
Perception refers to the interpretation of sensory information to understand the world around us. It is not specific to examining one's emotions, values, and behaviors for self-definition.