NURS 6501: Final Exam:
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A child is brought to the clinic because he experiences extreme distress when parting from his parents to go to school. He often complains of stomachaches that coincide with school mornings and has missed several days of school as a result. This presentation is most consistent with which of the following disorders?
Group of answer choices
- Social anxiety disorder
- Generalized anxiety disorder
- Major depressive disorder
- Separation anxiety disorder
- Excessive fear/anxiety about separation from attachment figures (parents, caregivers).
- Physical symptoms (headaches, stomachaches, nausea) in anticipation of separation.
- Avoidance behaviors (refusing to go to school, clinginess).
- Duration: Symptoms persist for ≥ 4 weeks in children.
- Social anxiety disorder: Fear revolves around social scrutiny (e.g., embarrassment in class), not separation.
- Generalized anxiety disorder (GAD): Excessive worry about multiple topics (e.g., grades, friendships), not just separation.
- Major depressive disorder: Would include symptoms like anhedonia, low mood, or fatigue—not just situation-specific anxiety.
