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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "A family member took me fishing several times when I was a kid.": This statement indicates positive childhood experiences, not factors contributing to aggression.

B. "My parent was physically abused as a child.": While a family history of abuse is relevant, direct experiences of abuse are more strongly linked to aggressive behavior.

C. "My parent used their fists to hit me as a child." Experiencing physical abuse as a child is a significant risk factor for developing aggressive behavior as an adult.

D. "I drink a glass of wine occasionally with dinner.": Moderate alcohol consumption does not typically contribute to aggression.

A. Histrionic trauma B. Chronic trauma C. Vicarious trauma D. Acute trauma

Correct Answer is B

Explanation

A. Histrionic trauma: This term is not used in trauma classification.

B. Chronic trauma: Chronic trauma refers to repeated and prolonged exposure to traumatic events, such as ongoing abuse or neglect over a long period.

C. Vicarious trauma: This occurs when someone experiences trauma indirectly, such as through exposure to another person’s trauma.

D. Acute trauma: Acute trauma results from a single, isolated event rather than repeated occurrences.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

Correct Answer is C

Explanation

A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?

Correct Answer is B

Explanation

A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?

A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?

A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?

A nurse working at a middle school suspects that a student is experiencing physical abuse after collecting data from the student. Which of the following actions should the nurse take next?