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?
Have the child carefully repeat the events of the trauma.
Interview the child without the caregiver present.
Have toys or drawing materials available for the child.
Focus on the physical domain of health.
The Correct Answer is C
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.
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 D
Explanation
A. Invite a family member to be present for the nursing history: This may discourage the client from sharing truthful information if the family member is the perpetrator.
B. Display disapproval toward the perpetrator: Displaying judgment can increase the client’s distress and reduce their openness.
C. Probe the client to offer a factual account of the abuse: Pressuring the client to share details can retraumatize them.
D. Be direct and honest when communicating with the client. Direct, honest communication helps build trust, which is essential for abused clients who may feel vulnerable.
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