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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Breast examinations: Breast examinations are a form of secondary prevention because they help detect breast cancer at an early, more treatable stage. The goal is to identify disease before symptoms appear and prevent progression through early intervention and treatment.
B. Osteoporosis screening: Screening for osteoporosis identifies individuals with decreased bone density before fractures occur. This represents secondary prevention, as it aims to detect the disease in its early stages to initiate management and prevent complications like fractures.
C. Immunizations: Immunizations are a form of primary prevention because they prevent the onset of disease rather than detect it early. Vaccines protect individuals and communities by building immunity before exposure to pathogens occurs.
D. Family planning: Family planning services fall under primary prevention, as they help prevent unintended pregnancies and promote maternal health before conception. These interventions occur before any health condition develops.
E. Cholesterol monitoring: Monitoring cholesterol levels helps detect hyperlipidemia early, which allows for timely intervention to reduce cardiovascular risk. It is a secondary prevention measure aimed at early detection and prevention of complications such as coronary artery disease.
Correct Answer is B
Explanation
A. Provide a high-carbohydrate meal: Offering food will not reduce iron absorption or counteract toxicity. Iron poisoning causes gastrointestinal irritation, metabolic acidosis, and possible organ damage, requiring urgent medical evaluation rather than dietary measures.
B. Contact the poison control center: Iron overdose is potentially life-threatening, and poison control can provide immediate, specific guidance based on the child’s age, weight, and amount ingested. Prompt emergency intervention may be needed.
C. Bring the child to the office for a rapid infusion of deferoxamine: Deferoxamine is the antidote for severe iron toxicity but should only be administered in a healthcare facility after diagnostic confirmation of toxicity levels. The parent must first receive instructions from poison control or emergency services.
D. Give the child syrup of ipecac: Inducing vomiting with syrup of ipecac is no longer recommended due to the risk of aspiration and limited efficacy in toxin removal. The child should instead receive immediate evaluation and treatment in an emergency setting.
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