1. A 10-year-old boy is brought to the school nurse by his

teacher, who reports that he has been acting restless,

irritable, and disruptive in class. The nurse observes that

the boy is fidgety, talks rapidly, and has difficulty staying

on task. The nurse suspects that the boy may have:

a) Attention-deficit/hyperactivity disorder (ADHD)

b) Oppositional defiant disorder (ODD)

c) Conduct disorder (CD)

d) Bipolar disorder (BD)

*Answer: a) ADHD

Rationale: ADHD is characterized by a persistent pattern of

inattention and/or hyperactivity-impulsivity that interferes

with functioning or development. The boy's symptoms are

consistent with ADHD, while ODD, CD, and BD have

different or additional features.*

2. A 14-year-old girl is referred to a mental health clinic by

her pediatrician, who noticed signs of depression during a

routine check-up. The girl admits that she has been feeling

sad, hopeless, and worthless for the past few months. She

also reveals that she has been cutting herself on her arms

and legs with a razor blade. The nurse should assess the girl

for:

a) Suicidal ideation

b) Borderline personality disorder (BPD)

c) Post-traumatic stress disorder (PTSD)

d) All of the above

*Answer: d) All of the above

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