A 12-year-old patient, who was recently place in foster care after one year in a residential facility, reports recurring nightmares about a violent event in the residence. He also has some difficulty remembering and concentrating. The nurse suspects the patient may be developing which disorder?

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4. Symptoms of PTSD include recurring, distressing dreams related to the event as well as memory impairment, impaired information processing, and difficulty concentrating. Children who are depressed typically cannot communicate their sadness with words, as in verbal reports of troubling dreams, but instead communicate to others with their withdrawn, sad, and/or irritable mood states. Separation anxiety occurs when a child exhibits great fear and distress when separated from parents or home. Pediatric bipolar disorder (PBD) is characterized by significant mood disturbances, including elated or irritable mood.

A 12-Year-Old Patient, Who Was Recently Place in Foster Care