Owing to the unique challenges experienced by children of active ...

[khang]

Owing to the unique challenges experienced by children of active duty military, which of the following fears would a nurse most likely identify? (Select all that apply.)
 
  1. Fear of not being accepted in new schools
  2. Fear of being behind academically
  3. Fear of not making friends in new schools
  4. Fear of losing athletic standing
  5. Fear of discrimination from new school faculty

Question 2

A nurse is assessing a client diagnosed with substance induced psychotic disorder (SIPD). What would differentiate this client's symptoms from the symptoms of a client diagnosed with brief psychotic disorder (BPD)?
 
  1. Clients diagnosed with SIPD experience delusions, whereas clients diagnosed with BPD do not.
  2. Clients diagnosed with BPD experience hallucinations, whereas clients diagnosed with SIPD do not.
  3. Catatonic features may be associated with SIPD, whereas BPD has no catatonic features.
  4. Catatonic features may be associated with BPD, whereas SIPD has no catatonic features.

[iceage]

Answer to Question 1

1, 2, 3, 4
Rationale: Military children face unique challenges. They fear not being accepted, being behind academically, not making friends, and losing athletic standing as they move from one school to another. Fear of discrimination from new school faculty has not been shown as a realistic fear in this population.

Answer to Question 2

3
Rationale: The diagnosis of SIPD is made when symptoms are directly attributable to substance intoxication or withdrawal. The symptoms are more excessive and more severe than those usually associated with the intoxication or withdrawal syndrome. Hallucinations and delusions are associated with both SIPD and BPD. Catatonic features may be associated with SIPD, whereas BPD has no catatonic features.