A nurse is discussing health insurance coverage with state legislators.
Which of the following disadvantages related to health insurance should the nurse include in the discussion that is specific to clients who live in rural communities rather than urban areas?

Choice A rationale

Insisting on having their own way when playing with friends is a common behavior among children and is not necessarily related to a traumatic experience. It could be a sign of a strong personality or a phase of development where the child is learning about power and control.
Choice B rationale
Crying because they are the smallest child in their class is more likely related to self-esteem or body image issues. This behavior is not typically associated with experiencing a traumatic event like a house fire.
Choice C rationale
Being rude to siblings when things do not go their way is a common behavior among children and is not necessarily indicative of a traumatic experience. It could be a sign of frustration or difficulty managing emotions.
Choice D rationale
Making small fires in the backyard could be a sign that the child is trying to make sense of or reenact the traumatic experience of their house being destroyed by a wildfire. This behavior is a cause for concern and should be addressed with professional help.

Choice A rationale
Having the child carefully repeat the events of the trauma is not always the best strategy. Repeatedly recounting traumatic events can potentially retraumatize the child.
Choice B rationale
Assessing the child without their caregiver present can be beneficial in some cases, especially if there is a suspicion of abuse by the caregiver. However, in the context of school violence, it might be more beneficial to have a trusted adult present to provide comfort and support.
Choice C rationale
Having toys or drawing materials available for the child is a good strategy. Play and art can be therapeutic for children and can provide a non-threatening way for them to express their feelings and experiences.
Choice D rationale

Focusing solely on the physical domain of health may not provide a comprehensive understanding of the child’s experience. While physical health is important, understanding the child’s emotional and psychological responses to the violence is also crucial.