A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

The child insists on having their own way when playing with friends.

The child cries because they are the smallest child in their class.

The child is rude to their siblings when things do not go their way.

The child is found making small fires in the backyard.

Answer and Explanation

The Correct Answer is D

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.

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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.

A. Recommend the client obtain a part-time job. B. Schedule an appointment with a school-based counselor. C. Arrange a visit with a neurologist. D. Encourage the client to engage in more physical activity.

Correct Answer is B

Explanation

Choice A rationale

Recommending the client obtain a part-time job may not be the most effective intervention for an adolescent experiencing depression due to a recent move. While employment can provide a sense of purpose and routine, it may also add additional stress and responsibilities that could potentially exacerbate the client’s depression.
Choice B rationale
Scheduling an appointment with a school-based counselor is the most appropriate intervention. School-based counselors are trained to provide emotional support and therapeutic interventions to students dealing with various issues, including depression. They can provide a safe space for the client to express their feelings and can help them develop coping strategies to manage their depression.
Choice C rationale
Arranging a visit with a neurologist is not the most appropriate first intervention. While neurologists can provide treatment for neurological conditions, they are not typically the first point of contact for managing depression.
Choice D rationale
Encouraging the client to engage in more physical activity can be beneficial as exercise has been shown to have a positive effect on mood. However, it may not be sufficient as the sole intervention for an adolescent experiencing depression

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A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?

Correct Answer is D

Explanation

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Correct Answer is B

Explanation

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

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A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

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