A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?

The child participates in school activities.

The child talks about best friends at school.

The child reports abdominal pain at night when going to bed.

The child is doing well in school.

Answer and Explanation

The Correct Answer is C

A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.

B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.

C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.

D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.

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Correct Answer is A

Explanation

A. "I'd like to hear more about how you are feeling." This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support.

B. "Let's talk about what is going on at work.": This dismisses the client’s concerns and shifts focus away from the abuse.

C. "Now that you have come for help, you will feel much better.": This is dismissive and minimizes the client’s experience.

D. "Why do you think your partner is angry with you?": This implies blame and can further traumatize the client.

A. The client is easily startled by loud voices. B. The client talks constantly about the traumatic experience. C. The client reports satisfying personal relationships with family and close friends. D. The client is constantly drowsy and sleeps 1.1-12-hr daily.

Correct Answer is A

Explanation

A. The client is easily startled by loud voices. Hypervigilance and being easily startled are hallmark symptoms of PTSD.

B. The client talks constantly about the traumatic experience: Clients with PTSD often avoid discussing their trauma.

C. The client reports satisfying personal relationships with family and close friends: PTSD can strain relationships due to emotional withdrawal and hypervigilance.

D. The client is constantly drowsy and sleeps 11-12 hours daily: Clients with PTSD often experience insomnia or sleep disturbances, not prolonged sleep.

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A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse working at a middle school suspects that a student is experiencing physical abuse after collecting data from the student. Which of the following actions should the nurse take next?

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A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following d findings should the nurse expect? (Select all that apply.)

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