Author Question: A six-year-old has been diagnosed with both reactive attachment and disinhibited social engagement ... (Read 14 times)

ap345 · **on:** Jul 19, 2018

A six-year-old has been diagnosed with both reactive attachment and disinhibited social engagement disorders after being found living in the streets. The nurse knows that the patient will exhibit which symptoms? Select all that apply.

1. Wandering from caregivers
2. Engaging in repetitive behaviors
3. Unable to seek comfort when distressed
4. Preoccupation with physical appearance
5. Fearfulness despite the absence of stressors

Question 2

A new nurse has just taken his state board exams and passed, but he has not yet found a job. He also married the month after graduation, and his new wife just announced that she is pregnant. He has recently been experiencing sleep disturbances,

difficulty concentrating, and irritability. The nurse at the clinic suspects which disorder?
1. Obsessive-compulsive disorder
2. Generalized anxiety disorder
3. Adjustment disorder
4. Reactive attachment disorder

wergv · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 3, 5
Explanation: The patient with reactive attachment disorder displays limited positive affect; experiences periods of irritability, sadness, and fearfulness despite the absence of stressors; and does not seek comfort when distressed or respond to comforting efforts. With disinhibited social engagement disorder, the patient may readily engage with unfamiliar adults and wander from caregivers. Engaging in repetitive behaviors and preoccupation with physical appearance are not associated with reactive attachment or disinhibited social engagement disorder.

Answer to Question 2

Answer: 3
Explanation: The new nurse is likely experiencing adjustment disorder in response to the stressful events in his life. Symptoms occur within 3 months of onset of the disorder and will continue for no more than 6 months after the termination of the stressor.