During well-child clinic, the nurse suspects depression in an ...

[NClaborn]

During well-child clinic, the nurse suspects depression in an 8-year-old child who has which of the following symptoms?
 
  A) He or she expresses boredom and watches TV but cannot remember what was watched.
  B) He or she likes to collect baseball cards and plays on a baseball team.
  C) He or she talks excessively and brags about the ability to play baseball.
  D) He or she enjoys playing the piano and going to dance class.

Question 2

Which of the following assessment findings in a client who is suspected of having a delusional disorder would be suggestive of a diagnosis of schizophrenia?
 
  A) The client's beliefs are considered delusional but nonbizarre.
  B) The client experiences frequent and sustained hallucinations.
  C) The client does not have insight into his or her delusions.
  D) The client responds to group psychotherapy.

[tjayeee]

Answer to Question 1

Ans: A
Depression in children may be manifested by loss of interest in age-appropriate activities and poor memory. Collecting baseball cards, playing on a baseball team, playing piano, and going to dance class are all normal activities for an 8-year-old child. At this age, children tend to boast about their abilities.

Answer to Question 2

Ans: B
The presence of prominent and sustained hallucinations is suggestive of schizophrenia rather than delusional disorder. Nonbizarre delusions are associated with delusional disorder, and people with either diagnosis lack insight. Response to therapy does not differentiate between the two diagnoses.

[NClaborn]

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[marict]

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