A nurse is collecting data from a 6-year-old child who has experienced violence at school. Which of the following data collection strategies should the nurse use?

Have the child carefully repeat the events of the trauma.

Interview the child without the caregiver present.

Have toys or drawing materials available for the child.

Focus on the physical domain of health.

Answer and Explanation

The Correct Answer is C

A. Have the child carefully repeat the events of the trauma: Asking a young child to recount traumatic events can retraumatize them and is unlikely to yield accurate information due to developmental limitations.

B. Interview the child without caregiver present: While some information may need to be gathered privately, involving caregivers can provide comfort and support unless the caregiver is suspected of being involved in the violence.

C. Have toys or drawing materials available for the child. Using toys or drawing materials provides a non-threatening way for the child to express their feelings and experiences, as children often communicate better through play or art rather than direct verbal interaction.

D. Focus on the physical domain of health: While physical health is important, the emotional and psychological effects of trauma are equally critical to address.

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Correct Answer is B

Explanation

A. The client explains they are not planning to leave their home: This indicates denial or hesitation, which does not reflect engagement with the safety plan.

B. The client puts the number of the crisis center into their phone. Storing the crisis center number demonstrates that the client acknowledges its importance and takes a step toward implementing the safety plan.

C. The client thinks their home will be safer now that there is a baby in the house: This reflects false hope and lack of understanding of the risks of intimate partner violence.

D. The client thanks the nurse for the information: While polite, this response does not indicate the client has taken action or internalized the safety plan.

A. Reinforce reality with the client. B. Instruct the client to take deep breaths. C. Assist the client to identify the cause of the anxiety. D. Administer an antianxiety medication to the client.

Correct Answer is B

Explanation

A. Reinforce reality with the client. While reinforcing reality can help in addressing the client's hallucinations (seeing bugs), it may not be the immediate priority when the client is experiencing severe panic.

B. Instruct the client to take deep breaths: Helping the client to take deep breaths can provide immediate relief from acute anxiety by promoting relaxation and helping to reduce the physiological symptoms of panic. Once the client is calmer, other interventions can be considered.

C. Assist the client to identify the cause of the anxiety: Insight into triggers is more appropriate after the acute episode resolves.

D. Administer an antianxiety medication to the client: While this may be necessary, it is not the immediate first action in this scenario.

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A nurse is collecting data from a 6-year-old child who has experienced violence at school. Which of the following data collection strategies should the nurse use?

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Correct Answer is B

Explanation

A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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