The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply.

A. Wear a white examination coat when conducting the interview: Wearing a white coat can be intimidating for children and may increase anxiety. To promote comfort and trust, the nurse should appear friendly and nonthreatening, using a calm tone and relaxed posture.

B. Allow the child to control the pace and order of the health history: Allowing the child some control fosters cooperation and helps build rapport. This approach respects the child’s developmental level, encourages open communication, and makes the child feel more comfortable sharing information.

C. Use quick deliberate gestures to get your point across: Rapid or exaggerated movements can frighten a child and may be perceived as aggressive. Slow, gentle, and predictable gestures are more effective in maintaining a calm environment.

D. Do not make physical contact with the child during the interview: Gentle, appropriate contact such as a reassuring touch on the shoulder can convey empathy and support. Avoiding all physical contact can make the interaction feel impersonal or cold.

A. Behavioral therapy: Behavioral therapy focuses on modifying specific maladaptive behaviors through reinforcement and conditioning techniques. While effective for older children, it may not be suitable for a 4-year-old who lacks the cognitive maturity to understand behavioral interventions fully.

B. Play therapy: Play therapy is most appropriate for young children because it allows them to express feelings, fears, and experiences through play rather than words. It helps build trust, reduce anxiety, and provides insight into the child’s emotional state, especially following trauma such as abuse.

C. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) relies on a child’s ability to identify and modify thought patterns, which typically develops later in childhood. A 4-year-old’s limited abstract thinking makes CBT less effective at this stage.

D. Family therapy: Family therapy can help improve communication and relationships within the family system but may not directly address the child’s need for a safe, nonverbal way to express trauma-related emotions and build trust with the therapist.