The psychiatric-mental health nurse practitioner is evaluating a 4-year-old girl she suspects has been physically abused. Which of the following is most appropriate for this child?
Art therapy
Talk therapy
Play therapy
Group therapy
The Correct Answer is C
Choice A reason: Art therapy can be useful for expression, but in young children, it may not adequately allow processing of trauma or understanding of events.
Choice B reason: Talk therapy is often limited for very young children due to their developmental stage and limited verbal capacity.
Choice C reason: This is the correct answer. Play therapy allows young children to express feelings, communicate experiences, and process trauma in a developmentally appropriate manner, making it the most suitable initial therapeutic approach.
Choice D reason: Group therapy is generally inappropriate for very young children with suspected abuse because they may not have the social or emotional capacity to benefit safely.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Answering all questions would violate the adolescent’s right to confidentiality and could undermine trust in the therapeutic relationship.
Choice B reason: Requiring in-person verification still may not address confidentiality concerns. The adolescent has the right to privacy about his health information at age 17, so even verified disclosure may be inappropriate without consent.
Choice C reason: Providing vague information may still constitute a breach of confidentiality and is not the safest professional practice.
Choice D reason: This is the correct answer. The PMHNP must respect the adolescent’s confidentiality regarding his diagnosis and treatment unless the patient provides consent to share information with his parent. This maintains trust and legal compliance with privacy laws.
Correct Answer is C
Explanation
Choice A reason: Generalized anxiety disorder involves persistent and excessive worry about a variety of everyday issues rather than specific social situations. This patient’s anxiety is context-specific (social interactions), which does not meet the criteria for generalized anxiety disorder.
Choice B reason: Agoraphobia involves fear or avoidance of places or situations where escape might be difficult, often involving crowds or public spaces. Her avoidance is social in nature, not related to leaving home or public spaces, so this diagnosis does not fit.
Choice C reason: This is the correct answer. Social anxiety disorder (social phobia) is characterized by intense fear or anxiety in social situations due to potential scrutiny or embarrassment. The patient’s avoidance of social events, fear of saying or doing something embarrassing, and relief when she attends indicate classic features of social anxiety disorder.
Choice D reason: Panic disorder is defined by recurrent unexpected panic attacks and persistent concern about having additional attacks. The patient does not report sudden, recurrent panic episodes but rather anticipatory anxiety about social evaluation, making panic disorder an inappropriate diagnosis.
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