My client is a 16-year-old Caucasian female who was admitted to Children's Medical Services on July 28, 2015. She lives with her mother in a mobile home. The mother and father are divorced because his father was abusive. Since the mother is now a single parent, finances are an issue. The mother also suffers from depression and is receiving counseling. My client suffers from dysthmia, a type of chronic depression in which a person's mood is regularly low (quote). He was diagnosed with obsessive compulsive disorder, an anxiety disorder in which people have unwanted, repeated thoughts, feelings, ideas, sensations or behaviors that cause them to do something (quote). My client has a problem with inattention, overactivity and impulsivity, which has been diagnosed as attention deficit hyperactivity disorder. She also suffers from post-traumatic stress after witnessing her mother's abuse when she was a child. Her medical history includes ADHD, asthma, vaginitis, urinary tract infection, sinusitis, and otitis media. My client is physically within the normal range for her age. According to the growth chart in the teacher's book, his weight is in the 75th percentile and his height is in the 25th percentile. She had a slim physique and showed no appearance of nutritional deficiency. The skin appeared smooth, the hair shiny and strong, and the mucous membranes seemed hard and moist. She was dressed casually in school clothes. The purpose of this visit was to initiate therapy to resolve the cycle of conflict between the child and the mother. My client is very hyperactive and causes conflicts with her mother. Due to her low self-esteem, she does not want to go to school and is therefore excessively absent. She hits and kicks her mother when she tries to wake her...... middle of paper ...... -management techniques to increase their own ability to deal with frustration, so that they can calmly respond to their child’s expectations. behavior. Children with chronic illnesses have a changing lifestyle and different problems arise as the child goes through developmental changes into adulthood. With knowledge of child development, a nurse can recognize regressions in child development and implement preventive strategies. Nurses can plan and implement treatment regimens such as administering medications. Young people with chronic illnesses and their families face the demands of chronic illness on a daily basis. Nurses can help parents with different coping strategies they can use to minimize the impact of the diagnosis. For example, they can provide explanations to parents about the diagnosis and support, and encourage the family.