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?

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.

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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.

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

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.

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.

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.

Caleb is working as pharmacy technician. He has decided that he wants to continue with his education because he wants to become a pharmacist. Which statement BEST describes Caleb's situation?

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.

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

Which drugs treat nausea and vomiting?

a. non-opioid
b. opioid
c. antiemetics
d. antibiotics

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

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?