The nurse working in a pediatric mental health clinic is assessing a 4-year-old child who has suffered from physical abuse. Which type of therapy does the nurse anticipate will be most helpful in developing a trusting relationship as well as assisting in determining the client's current emotional state?

Behavioral therapy

Play therapy

Cognitive behavioral therapy

Family therapy

Answer and Explanation

The Correct Answer is B

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Sweets: While excessive sugar intake can contribute to general inflammation, it is not directly linked to fibrocystic breast disease symptoms. Reducing sweets may support overall health but does not specifically alleviate breast tenderness or cyst formation.

B. Cigarettes: Avoiding smoking is beneficial for overall wellness and cancer prevention, but smoking is not a primary contributing factor to fibrocystic breast changes. Eliminating it would not specifically reduce breast pain or nodularity.

C. Dairy products: There is limited evidence associating dairy consumption with fibrocystic breast disease. Eliminating dairy does not consistently improve symptoms and is not a recommended therapeutic modification for this condition.

D. Caffeine: Eliminating caffeine-containing products such as coffee, tea, chocolate, and cola is commonly advised for women with fibrocystic breast disease. Caffeine may increase breast pain and cystic changes by affecting fibrous tissue and fluid retention.

A. Walk every day, increase caffeine and salt intake, and sleep 8 to 10 hours a night. B. Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule C. Reduce caffeine, perform cardio exercise 3 times a week, and sleep 12 hours every other night. D. Walk several times a week, maintain a regular sleep schedule, decrease complex carbohydrates, and avoid complex sugars

Correct Answer is B

Explanation

A. Walk every day, increase caffeine and salt intake, and sleep 8 to 10 hours a night: Increasing caffeine and salt can worsen PMS symptoms such as irritability, bloating, and breast tenderness. Although adequate sleep and exercise are beneficial, caffeine and sodium should be limited.

B. Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule: Reducing caffeine helps minimize irritability and breast tenderness, regular exercise improves mood and circulation, relaxation techniques reduce stress, and consistent sleep enhances hormonal balance and energy levels.

C. Reduce caffeine, perform cardio exercise 3 times a week, and sleep 12 hours every other night: Although reducing caffeine and exercising are helpful, irregular and excessive sleep can disrupt circadian rhythm, causing fatigue and hormonal imbalance, which may worsen PMS symptoms.

D. Walk several times a week, maintain a regular sleep schedule, decrease complex carbohydrates, and avoid complex sugars: Reducing complex carbohydrates is not advised, as these foods stabilize blood glucose and support serotonin levels. Instead, simple sugars should be limited to prevent mood fluctuations and energy crashes.

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Naxlex Comprehensive Predictor Exams

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated which from her lifestyle?

Correct Answer is D

Explanation

A nurse should instruct a client who has premenstrual syndrome (PMS) to make which of these lifestyle modifications?

Correct Answer is B

Explanation

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