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A 16-Year-Old Boy Is Brought to the Office for a Routine

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A 16-year-old boy is brought to the office for a routine health maintenance examination.  The mother discloses concerns about his recent irritability and "moodiness."  He was recently bullied at school, got into a fistfight, and was suspended for 10 days.  The patient has also been caught using marijuana and alcohol.  Last month he was assaulted by a group of teenagers while walking home late at night.  He is learning to box and also takes his mother's gun to a shooting range to practice so he can protect himself and her if needed.  The patient spends his spare time in the evenings playing violent video games.  Family history is significant for an uncle with schizophrenia and an aunt with bipolar disorder.  His father used physical punishment to discipline him as a child.  Which of the following factors is most concerning for this patient's future risk of committing homicide?

Appreciate the significance of cultural sensitivity in patient care.
Recognize and follow guidelines for maintaining physical safety in the medical office environment.
Understand legal requirements to prevent discrimination and ensure safety in healthcare settings.
Identify different elements of the cycle of infection.

Definitions:

Cash Flows

The collective amount of cash inflow and outflow within a company, significantly determining its liquid resources.

Project Cost

The total expenditure, including all applicable fees and charges, needed to complete a project.

Payback Period

The length of time needed to recoup the initial cost of an investment, measuring the time it takes for an investment to become profitable.

Cash Flows

The aggregate quantity of cash and cash-like assets going in and coming out of a firm.

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