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?

Choice A rationale
The client must be calm and cooperative. This is the most important criterion for removing physical restraints. Restraints are used to prevent patients from causing harm to themselves or others. Once the patient is calm and cooperative, it indicates that the risk of harm has decreased. The goal is always to use the least restrictive measures and to remove restraints as soon as possible.
Choice B rationale
The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. This is not necessarily true. While a provider’s order is required to initiate restraints, the decision to remove them can often be made by the nurse based on their assessment of the patient.
Choice C rationale
The client must verbalize remorse for their behavior. This is not a requirement for removing restraints. The primary concern is the safety of the patient and others, not whether the patient expresses remorse.
Choice D rationale

The client only verbalizes anger toward the staff. If the client is still expressing anger, it may not be safe to remove the restraints. However, verbalizing anger alone is not a sufficient reason to keep a patient in restraints.

Choice A rationale
Post-traumatic play is a way for children to re-enact the traumatic event, and it is a common reaction among children who have experienced trauma. The child in the question mimicking shooting a gun with their hand whenever someone enters the room or tries to interact with them could be an example of this.
Choice B rationale
There is no recognized PTSD symptom or manifestation known as “Men formation.”.
Choice C rationale

Depersonalization involves experiencing a sense of being detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality. This does not seem to apply to the child’s behavior in the question.
Choice D rationale
Time skewing refers to a shift in the perception of time, which is not evident in the child’s behavior in the question.