A nurse is collecting data on a preschooler whose parent has recently died. Which of the following findings should the nurse expect?

Reports tightness in their chest.

Depends on their friends for emotional support.

Displays high-risk behavior.

Clings to their caregiver.

Answer and Explanation

The Correct Answer is D

Choice A reason: Reporting tightness in the chest is more typical of older children, adolescents, or adults who can verbalize somatic symptoms of grief. Preschoolers often lack the cognitive and verbal ability to describe grief in physical terms such as chest tightness.

Choice B reason: Depending on friends for emotional support is characteristic of older children or adolescents who have developed peer relationships as coping mechanisms. Preschoolers are still primarily dependent on caregivers for emotional regulation and support, not peers.

Choice C reason: High-risk behaviors, such as substance use or reckless activities, are associated with adolescents or adults coping maladaptively with grief. Preschoolers do not typically display high-risk behaviors; their grief manifests in attachment-related behaviors.

Choice D reason: Clinging to their caregiver is a common grief response in preschool-aged children. At this developmental stage, children rely heavily on caregivers for security and comfort. Loss of a parent increases fear of abandonment, leading to clinginess, separation anxiety, and regression in behavior. This is the expected finding for a preschooler experiencing grief.

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Correct Answer is B

Explanation

Choice A reason: Dependency refers to reliance on the abuser for emotional or financial support. While dependency can occur in abusive relationships, the statement reflects self-blame rather than dependence.

Choice B reason: Low self-esteem is evident when the client blames themselves for the abuse. Survivors often internalize responsibility for the abuser’s actions, believing they caused the violence. This reflects diminished self-worth and distorted self-perception, which are common psychological effects of abuse.

Choice C reason: Denial occurs when the client refuses to acknowledge the abuse or minimizes its severity. In this case, the client is acknowledging the abuse but misattributing blame, which is not denial.

Choice D reason: Anxiety may manifest as fear, restlessness, or hypervigilance, but the client’s statement specifically reflects self-blame and low self-esteem rather than anxiety symptoms.

A. Tell the client ways to avoid making their partner angry to prevent intimate partner violence. B. Provide the client with information on resources in the community to support victims of violence. C. Provide the client with strategies for interacting with others in social situations. D. The nurse instructs the client on ways to behave to prevent making their partner angry.

Correct Answer is B

Explanation

Choice A reason: Suggesting that the client avoid making their partner angry places responsibility for the abuse on the victim rather than the perpetrator. This approach perpetuates victim-blaming and does not address the underlying issue of violence. It is not an appropriate or ethical nursing intervention, as it fails to empower the client or provide them with resources for safety and support.

Choice B reason: Providing information on community resources is the most appropriate action. This empowers the client by connecting them with support systems such as shelters, counseling services, legal aid, and advocacy groups. These resources can help victims of violence develop safety plans, access emergency housing, and receive emotional and psychological support. This intervention respects the client’s autonomy and provides practical assistance to improve safety and well-being.

Choice C reason: Offering strategies for interacting in social situations does not address the immediate issue of intimate partner violence. While social support can be beneficial, this option is not directly relevant to the client’s safety or access to resources. It may be useful in general wellness care but is not a priority intervention in the context of abuse.

Choice D reason: Instructing the client on how to behave to prevent anger from their partner reinforces the abusive dynamic and suggests that the victim can control the perpetrator’s behavior. This is harmful and unethical, as it shifts responsibility away from the abuser and onto the victim. Nurses must avoid interventions that perpetuate abuse or minimize the seriousness of the situation.

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A nurse is collecting data on a preschooler whose parent has recently died. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experienced abuse. The client says, "It was my fault. I made my partner upset." The nurse should identify that the client is demonstrating which of the following manifestations?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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