University Gastroenterology
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1. PMHNP is evaluating a 15-year-old male patient who has been referred by his courtappointed guardian. He 
has been in foster care for the last 6 years and maintained a steady pattern of low-level behavior problems such 
as skipping school and ignoring curfew. He is not openly defiant and has always been described as a ―loner.‖ 
He just does not follow most rules. During the mental status examination, the PMHNP notes that his 
expressions are sometimes inconsistent with the topic of convers...