When providing care for 10-year-old Harper diagnosed with posttraumatic stress disorder (PTSD), which goal should be addressed initially?

Correct Answer: C

Rationale: The initial goal when caring for a child with PTSD like Harper is to address restoring a sense of control over disturbing thoughts by teaching relaxation techniques. This approach helps the child manage their distressing emotions and promotes a feeling of empowerment in dealing with their condition.

Correct Answer: C

Rationale: 1. **Correct Answer (C):** Emotional trauma is often manifested as physical symptoms. When individuals experience emotional trauma, such as severe stress, grief, or abuse, their bodies can respond physically. This is known as somatization, where emotional distress is expressed through physical symptoms like headaches, stomach issues, or muscle pain. These physical manifestations serve as a way for the body to express and cope with the psychological distress. 2. **Incorrect Answer (A):** Emotional trauma is not a distinct category isolated from physical symptoms. In fact, the mind and body are intricately connected, and emotional experiences can have profound effects on physical health. Ignoring the physical manifestations of emotional trauma can lead to exacerbation of symptoms and hinder holistic healing. 3. **Incorrect Answer (B):** Physical manifestations of emotional trauma are not always temporary. In some cases, these symptoms can become chronic if the underlying emotional distress is not addressed. Long-term physical repercussions of unaddressed emotional trauma can impact an individual's overall health and wellbeing. 4. **Incorrect Answer (D):** While patients may be more aware of physical problems caused by trauma, it is not solely about awareness. The physical symptoms are real and can significantly impact an individual's daily functioning. It is crucial for healthcare providers to recognize the link between emotional trauma and physical symptoms to provide comprehensive care. **Educational Context:** Understanding the connection between emotional trauma and physical symptoms is crucial in mental health nursing practice. Nurses need to assess not only the psychological well-being of patients but also recognize and address the physical manifestations of emotional distress. By acknowledging and validating these physical symptoms, nurses can provide holistic care that addresses both the mental and physical aspects of a patient's health.

Correct Answer: D

Rationale: The behavior of an 8-year-old boy playacting as a police officer and 'locking up' other children to the point of scaring them is likely a symptom of traumatization. Children may reenact traumatic experiences through play, and acting out aggressive or controlling roles can be a sign of underlying trauma. This behavior should be further assessed and addressed with appropriate support and intervention to help the child process and cope with any potential trauma.

Correct Answer: A

Rationale: Maternal stress during pregnancy can have long-term effects on the child's behavior and stress responses. Research shows that exposure to high levels of stress hormones in the womb can influence the developing fetal brain and the child's future behavior, potentially leading to high-risk behaviors during adolescence.

Correct Answer: C

Rationale: Imaginary friends can serve as a coping mechanism for children, especially those who have experienced trauma. They can provide comfort and a sense of control in challenging situations. Acknowledging and supporting the child's imaginary friend can be beneficial in their emotional healing and development.