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 A

Explanation

A. "I'd like to hear more about how you are feeling." This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support.

B. "Let's talk about what is going on at work.": This dismisses the client’s concerns and shifts focus away from the abuse.

C. "Now that you have come for help, you will feel much better.": This is dismissive and minimizes the client’s experience.

D. "Why do you think your partner is angry with you?": This implies blame and can further traumatize the client.

A. Have the child carefully repeat the events of the trauma. B. Interview the child without the caregiver present. C. Have toys or drawing materials available for the child. D. Focus on the physical domain of health.

Correct Answer is C

Explanation

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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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 talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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