Sara, a 14-year-old, has come to the office for her school physical. She is very remote, moody, and unwilling to answer any questions you ask her as part of her physical exam. She seems to have changed a great deal in the past year, and is thinner, more unkempt, and lethargic. You notice also that her mother is constantly badgering her and rolling her eyes in exasperation at her lack of cooperation.

What could you do to facilitate the examination and improve communication with Sara?

What possible problems could Sara be experiencing?

What should you do about the concerns that you have for Sara?

Answers

Answer 1

Answer and Explanation:

1. To facilitate the examination and communication with Sara, it would be important to politely ask her mother to leave the room. This could make Sara more relaxed and allow her to feel more comfortable answering questions, as we can see that her mother's presence is bothering her. Then it would be important to tell Sara that everything that was said in the room would be confidential and no one besides her and the interviewer would know about anything she said, for this reason, she could speak without fear of suffering any reprisal or having the content of the conversation disseminated.

2. Sara may be facing issues related to her teenage insecurities. She is 14 years old and it is common for teenagers at this age to become irritable, moody and anxious. She may also be facing problems related to substance ingestion, hormonal imbalance, among others.

3. To resolve concerns about Sara, it is important that the interviewer establish a relationship of complicity, so that Sara can inform what she is feeling, what is causing this behavior and what kind of situations she is involved. It is also important that she undergo medical tests that show the hormonal level and substances present in her body.

Answer 2
In order to improve the communication with Saracreate and maintain a trustful relationship with her.Begin the conversation with a warm smile on your face and ask about her likes, wishesReassure Sara that, none of the information shared by she is not exposed or shared with anyone.try to set a positive tonePolitely ask her about the problems she is facing.Tell her to explain her feelings. possible problems could Sara be experiencing   Based upon the clinical picture of Sara and her mother's way of says that Sara is a possible victim of domestic violence by her mother.The child may be facing emotional abuse also. The following interventions can be done,  Plan for a counseling session for Sara.Collect information regarding the scholastic performance and way of behavior at school.Get connected with her school health nurse and collect information about possible sickness, school absenteeismCarefully monitor her past health history and vaccination history.Communicate with her mother and collect the complete family history.Connect with a community self-help group to make the interaction live.Carry out a complete growth and development assessment along with a detailed physical examination.  

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Related Questions

Prescriptions may state that a patient should be given "ibuprofen as indicated for pain." Which prescription gives the correct indication?

a. tamoxifen as indicated for autoimmune disease
b. loperamide as indicated for constipation
c. oxycodone as indicated for pain
d. sertraline as indicated for insomnia

Answers

Answer:

C. Oxycodone as indicated for pain

Explanation:

I calculated it logically

C. Oxycodone as indicated for pain


I know my research :)

what happens if you mix melatonin and water and drank it?

Answers

Answer:

nothing will happen, it will help it go down easier/faster

Explanation:

Answer:

nothing

Explanation:

Which term describes habit-forming drugs that are regulated by the Drug Enforcement Agency?

a. beta blockers
b. regulated substances
c. macrolides
d. controlled substances

Answers

Answer:

controlled substances

Explanation:

The mission of the Drug Enforcement Administration (DEA) is to enforce the controlled substances laws and regulations of the United States and bring to the criminal and civil justice system of the United States, or any other competent jurisdiction, those organizations and principal members of organizations, involved in the growing, manufacture, or distribution of controlled substances appearing in or destined for illicit traffic in the United States; and to recommend and support non-enforcement programs aimed at reducing the availability of illicit controlled substances on the domestic and international markets.

Janelle is taking the drug raltegravir. What is the drug doing in her body to reduce the levels of HIV?

a. The integrase inhibitor prevents the virus from the making of new viral proteins that can assemble into new viruses.
b. The protease inhibitor prevents the virus from the making of new viral proteins that can assemble into new viruses.
c. The protease inhibitor prevents the viral DNA from being inserted into her cellular DNA.
d. The integrase inhibitor prevents the viral DNA from being inserted into her cellular DNA.

Answers

Answer:

D. The integrase inhibitor prevents the viral DNA from being inserted into her cellular DNA.

Explanation:

I calculated it logically

Which drugs treat nausea and vomiting?

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b. opioid
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Answers

Answer:

antiemetics (✓)

hope it will help.u....

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a. Caleb has some education but needs to pass the certification exam.
b. Caleb has a license and is wanting to obtain a certificate.
c. Caleb has a certificate and is wanting to obtain a license.
d. Caleb has passed one PTCE but still needs to pass the other.

Answers

Answer:

C. Caleb has a certificate and is wanting to obtain a license.

Explanation:

I calculated it logically

Anti-infective drugs that treat HIV usually target protease, reverse transcriptase, or integrase because they

a. are required for the virus to be able to replicate.
b. are required for viral attachment to the host cell.
c. allow the host cell to be removed by the immune system.
d. allow the virus to be recognized by the immune system.

Answers

Answer:

d. allow the virus to be recognized by the immune system

Explanation:

I think that

after the surgery, a patient drinks 2.5 ounces of clear liquids every 2 hours. how many ml will the patient drink in 8 hours?

Answers

Answer:

8

Explanation:

In order to stay hydrated, it's recommended to drink at least 64 ounces of liquid in the weeks and months after gastric sleeve surgery. However, WeightWise believes 96 to 120 ounces will yield the greatest results in staving off dehydration

At first, you may need to dilute fruit juices to avoid nausea or diarrhea. Avoid extremes. It may be helpful to avoid extremely hot or cold liquids until your stomach fully heals, usually around six weeks.

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Answer:

I believe it is 40.

Explanation:

this question is no more than a math problem. there is two way's of doing this,

2.5 times 2 times 8, or 8 times 2 and then 16 times 2.5 from the 8 and 2.

Thank you.

Patients who are on chemotherapy drugs often lose their hair. Which BEST explains why this happens?

a. Chemotherapy drugs are poisons that not only target cancerous cells, but also can affect healthy hair cells.
b. Chemotherapy drugs are antagonistic drugs that cause hair follicles to become inactive.
c. Chemotherapy drugs are agonist drugs and cause the cells to produce a protein that prevents hair cell growth.
d. Chemotherapy drugs are prodrugs and are activated when they reach the hair cells.

Answers

Answer:

A. Chemotherapy drugs are poisons that not only target cancerous cells, but also can affect healthy hair cells.

Explanation:

I calculated it logically

Answer:

Chemotherapy drugs are poisons that not only target cancerous cells, but also can affect healthy hair cells

Explanation:

not all chemotherapy drugs You will lose your hair when you take it

What are the levels of serotonin in the body when someone is feeling depressed, and how can depression be treated?

a. Serotonin levels are low, and by increasing serotonin, the patient will have an increase in happy feelings.
b. Serotonin levels are high, and by decreasing serotonin, the patient will have an increase in happy feelings.
c. Serotonin levels are constant, and by decreasing serotonin, the patient will have an increase in happy feelings.
d. Serotonin levels are fluctuating, and by increasing serotonin, the patient will have an increase in happy feelings.

Answers

Answer:

A. Serotonin levels are low, and by increasing serotonin, the patient will have an increase in happy feelings.

Explanation:

I calculated it logically

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