A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
The child participates in school activities.
The child talks about best friends at school.
The child reports abdominal pain at night when going to bed.
The child is doing well in school.
The Correct Answer is C
A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.
B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.
C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.
D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Constant need to talk about the event: Clients with PTSD often avoid discussing the trauma due to distress.
B. Increasing feelings of anger: Anger and irritability are common emotional responses in PTSD due to heightened arousal and difficulty regulating emotions.
C. Sleeping 12 hr or more each day: PTSD is typically associated with insomnia or nightmares, not hypersomnia.
D. Increasing sense of attachment to others: Clients with PTSD often experience emotional detachment and difficulty maintaining close relationships.
Correct Answer is C
Explanation
A. The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma.
B. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment.
C. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress.
D. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
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