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A 17-year-old girl comes to the clinic for a well visit. On exam, the NP
notices that the adolescent has several shallow cuts on her abdomen.
Some appear recent and some are almost healed. When the NP asks
about the cuts, the patient states, "Oh, it's nothing" and pulls her shirt down
to cover her abdomen. What diagnosis should be included in the
differential?
Child abuse
Self-injury behavior
Domestic violence
,Normal adolescent behavior - 🧠 ANSWER ✔✔Self-injury behavior
A 13-year-old boy just completed a Patient Health Questionnaire-2 (PHQ-
2), in which he marked "nearly every day" to the question asking if he has
"little interest or pleasure in doing things." During the visit, the boy is
smiling and engaging with the provider. He reports that he plays basketball
with his friends nearly every day after school and has a good support
group. What is the appropriate initial response to the findings?
Document that this screening is normal
Have the patient complete the PHQ-9
Refer the patient to a counselor
Ask him what that statement meant to him - 🧠 ANSWER ✔✔Ask him what
that statement meant to him
clarify answers in case patient is unfamiliar with the questions in the PHQ
When caring for a patient with autism spectrum disorder, which class of
medications is least likely to help manage their symptoms?
Tricyclic antidepressants
, Antiadrenergics
Atypical antipsychotics
Selective serotonin reuptake inhibitors - 🧠 ANSWER ✔✔Tricyclic
antidepressants
A 15-year-old boy comes into the clinic for hemorrhoids. During the visit, he
states that the hemorrhoids started after his uncle's adult friend talked him
into having sex with him. He states that he is "not gay," but doesn't want his
uncle's friend to get into trouble. What is the best action by the nurse
practitioner at this time?
Let the patient know that it is okay to have sexual role confusion at this age
Notify the local child protection agency
Notify the local child protection agency and refer him to counseling.
Let the parent know what happened and refer him to a counselor - 🧠
ANSWER ✔✔Notify the local child protection agency and refer him to
counseling.
Which patient would best meet the criteria for separation anxiety disorder?
An 8-month-old boy who cries every time his mother puts him down.
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