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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Assess for risk of immediate harm to patient or children: The priority is to ensure the immediate safety of the client and any children involved. If there is a risk of harm, emergency services or protective measures must be initiated.

B. Implement the safety plan: Implementing the safety plan is important but secondary to assessing the immediate risk. Without first understanding the level of danger, the safety plan might not address urgent needs.

C. Refer the client to a community support group: This is a valuable intervention for long-term support but is not the priority in an acute situation where immediate risk must be assessed.

D. Instruct the client on how to leave the relationship: While planning for leaving the relationship is critical, it is not the immediate priority, especially if the client or children are in danger.

A. Use negative reinforcement techniques to prevent the client from performing rituals. B. Determine the client's level of anxiety C. Encourage avoidance of situations that increase anxiety. D. Interrupt the compulsive behavior.

Correct Answer is B

Explanation

A. Use negative reinforcement techniques to prevent the client from performing rituals: Negative reinforcement is not a therapeutic or evidence-based approach for managing OCD.

B. Determine the client's level of anxiety: Anxiety levels often influence compulsive behaviors. Assessing the client's anxiety helps guide interventions to manage it effectively.

C. Encourage avoidance of situations that increase anxiety: Avoidance reinforces the OCD cycle and is not a constructive coping strategy.

D. Interrupt the compulsive behavior: Abruptly interrupting rituals can increase the client’s anxiety and distress.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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