Author Question: A kindergarten teacher refers a student to the school nurse because he appears unable to engage in ... (Read 161 times)

lunatika · **on:** Jul 19, 2018

A kindergarten teacher refers a student to the school nurse because he appears unable to engage in play with the other children and insists on playing alone with a particular toy. He also shows delayed language development.

What disorder might the nurse suspect?
1. Conduct disorder
2. Autism spectrum disorder (ASD)
3. Posttraumatic stress disorder (PTSD)
4. Attention-deficit/hyperactivity disorder (ADHD)

Question 2

A 7-year-old child recently experienced the death of the family's pet dog. The dog was the child's constant companion. What does the nurse understand the child is at risk for developing as a result of the pet's death?

1. Agoraphobia
2. Conduct disorder
3. Elimination disorder
4. Separation anxiety disorder

carlsona147 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 2
Explanation: The core symptoms of ASDs are impairment of social interactions and communication, and restricted, repetitive behaviors and interests. Conduct disorder is defined by a relatively persistent pattern of multiple antisocial behaviors during childhood and adolescence. PTSD is a response to trauma that often involves recurring, distressing dreams related to the event. Although children with PTSD may withdraw from others and disengage from activities, they do not typically exhibit language delays. Core symptoms of ADHD fall into three categories: inattention, hyperactivity, and impulsivity.

Answer to Question 2

Answer: 4
Explanation: Separation anxiety disorder involves a developmentally inappropriate and excessive anxiety over separation from home or from attachment figures and may appear after a stressful life event, such as the death of a pet. This child's dog may be viewed as an attachment figure, thus placing this child at risk for a separation anxiety disorder. Agoraphobia, the fear of being in public places, is not related to this situation. Risk factors for conduct disorder are related to difficulties with parent-child interactions. Children with elimination problems may have psychosocial risk factors. However, the child who experiences a significant family loss is at increased risk for separation anxiety disorder.