The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:

Questions 20

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Question 1 of 5

The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:

Correct Answer: D

Rationale: The correct answer is D: A potential symptom of traumatization. This behavior of playacting as a police officer and causing fear in other children can be a red flag for trauma. Trauma can manifest in various ways in children, including through aggressive or controlling behaviors. The boy may be reenacting a traumatic event he witnessed or experienced, using the role of a police officer to process his feelings of powerlessness or fear. It is important for the nurse to consider the possibility of trauma and address it appropriately. Choices A, B, and C are incorrect because they do not directly address the concerning behavior displayed by the child. The behavior is not simply about the need to dominate others, inventing traumatic events, or developing close relationships. Instead, it suggests deeper psychological distress that requires a trauma-informed approach for intervention.

Question 2 of 5

What therapy environment permits the nurse to assess the client while they are exposed to different relationships and behaviors?

Correct Answer: A

Rationale: Milieu therapy is the correct answer as it involves creating a therapeutic environment where clients interact with others, allowing nurses to observe their behaviors and relationships. This setting offers a holistic approach to assessment, considering how clients engage in various interactions. Electrical impulse therapy (B) is not focused on observing relationships and behaviors. Talk therapy (C) and individual therapy (D) primarily involve one-on-one interactions, limiting the nurse's ability to assess clients in diverse relationship contexts. Milieu therapy stands out for its comprehensive assessment opportunities within a dynamic social environment.

Question 3 of 5

Nurse Stefan is caring for a ten-year-old client who has ASD. The client's mother is concerned that her child is not getting all his homework completed and she does not want him to get behind in school. Nurse Stefan educates the client's mother by offering several suggestions. What is the nurse's most appropriate response?

Correct Answer: B

Rationale: The correct answer is B: Creating a quiet study corner in your home will help him to focus. This option is the most appropriate because children with Autism Spectrum Disorder (ASD) often benefit from a quiet and structured environment to focus on tasks. The quiet study corner can minimize distractions and provide a dedicated space for the child to concentrate. Incorrect choices: A: Encouraging the child to get all his work done in one sitting may overwhelm him and lead to frustration, especially for a child with ASD who may need breaks and a structured routine. C: Allowing the TV on in the background can be distracting for a child with ASD who may have sensory sensitivities and struggle to filter out background noise. D: Forcing the child to sit down and complete homework as soon as he gets home may cause stress and resistance, as children with ASD often benefit from predictable routines and gradual transitions.

Question 4 of 5

Which is an example of an individual successfully completing Erikson's"school age" stage of development?

Correct Answer: D

Rationale: The correct answer is D because Erikson's "school age" stage focuses on developing a sense of industry and competence. By trying out for cheerleading, the 11-year-old girl is demonstrating initiative and feeling accomplished, which aligns with this stage. Choice A is incorrect as it relates more to peer pressure and moral development. Choice B is incorrect as it focuses on social interaction skills, not specifically related to Erikson's stage. Choice C is incorrect as it pertains to independent play, not directly linked to Erikson's concept of industry and competence. Overall, D best exemplifies successful completion of the "school age" stage.

Question 5 of 5

On a substance abuse unit, a client diagnosed with cirrhosis of the liver tells the nurse,"I really don't believe that drinking a couple of cocktails every night has anything to do with my liver problems." Which is the best nursing response?

Correct Answer: A

Rationale: The correct answer is A. This response uses therapeutic communication by reflecting the client's statement back to them. By doing so, the nurse acknowledges the client's perspective without being confrontational. It opens the door for further discussion and exploration of the client's beliefs around alcohol and liver damage. This approach helps build rapport and trust with the client, allowing for a more effective therapeutic relationship. Choices B, C, and D are incorrect because they do not address the client's denial or beliefs directly. Choice B focuses on gathering more information about the client's drinking habits without addressing the client's statement. Choice C asks for an explanation without validating the client's feelings. Choice D is a general statement that may come across as judgmental and does not address the client's specific belief.

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