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A school nurse is providing care to a child in the nurse's office.

Exhibits

Complete the following sentence by using the lists of options.

The child is likely experiencing

as evidenced by the child's and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C","dropdown-group-3":"A"}

Rationale:

This child’s presentation is most consistent with bullying because the change is recent, tied to peer interactions, and includes the classic triad of psychosocial, somatic, and academic consequences. Six months ago the child was quiet but excelled academically and had normal screenings and growth; over the past months the teacher reports social withdrawal (playing alone, avoiding group work), and grades have declined, a clear change in academic performance that correlates with the timing of peer problems. Parents report frequent headaches, stomachaches, sleep disturbance, loss of appetite, weight loss (50th to 5th percentile) and loss of interest in activities; these are common psychosomatic symptoms of chronic stress and anxiety from bullying rather than primary medical disease. The child also expresses low self-esteem due to classmates’ comments and refuses to discuss peers, which supports an interpersonal (peer-related) cause.


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Related Questions

Correct Answer is B

Explanation

Rationale:
A. A low-grade fever is not a contraindication and children can usually still receive vaccines safely.
B. A severe allergic reaction (anaphylaxis) to a previous dose of a vaccine or its components is a true contraindication and requires permanent avoidance of that specific vaccine.
C. Mild respiratory illnesses without fever generally do not prevent vaccination.
D. The common cold is not a reason to delay immunization unless the child is severely ill.

Correct Answer is A

Explanation

Rationale:
A. Performing traumatic or invasive procedures (such as examining the ears, mouth, or genital area) last helps build trust and minimizes distress during the assessment.
B. A head-to-toe approach may not be suitable for toddlers due to limited cooperation; flexibility is key.
C. Immediate physical contact can be intimidating and increase anxiety in toddlers—establishing rapport first is important.
D. Most toddlers lack the developmental ability to fully undress themselves; assistance is typically needed.

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