A nurse is caring for a school-age child who witnessed a violent crime.
Each time the child recalls the event, the details differ from previous recollections. Which of the following trauma-related symptoms is the child experiencing?
Derealization.
Hypervigilance.
Dissociative amnesia.
Depersonalization.
The Correct Answer is C
Choice A rationale
Derealization involves feeling detached or disconnected from one’s surroundings, not changing details of a traumatic event.
Choice B rationale
Hypervigilance involves being overly alert or watchful, especially to potential danger, not changing details of a traumatic event.
Choice C rationale
Dissociative amnesia can involve difficulty remembering important information about a traumatic event, which can lead to inconsistencies in the child’s recollections.
Choice D rationale
Depersonalization involves feeling detached or disconnected from oneself, not changing details of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Having a physical disability can be considered an ACE as it can lead to increased stress, potential for bullying, and other negative experiences. Children with physical disabilities may face unique challenges that can contribute to the development of anxiety disorders.
Choice B rationale
Performing well in school is generally considered a positive experience and is not an ACE. Academic success can contribute to a child’s self-esteem and sense of accomplishment.
Choice C rationale
Having a family with a strong social support system is a protective factor against the development of anxiety disorders and is not considered an ACE. A strong support system can provide a child with resources, emotional support, and a sense of security.
Choice D rationale
Having caregivers who have steady employment is not considered an ACE. Steady employment can provide financial stability and reduce stress in the household, which can be protective against the development of anxiety disorders.
Correct Answer is D
Explanation
Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.
Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.
Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.
Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.
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