A 10-year-old child, who has been placed in a foster home after being removed from parental contact because of abuse, demonstrates apprehension, tremulousness, and impaired concentration
The foster parent reports the child has an upset stomach, is urinating frequently, and does not seem to understand what has happened. She asks the nurse what measures they can use to help the child. The nurse should recommend: Select all that apply. a. using a calm manner and low, comforting voice.
b. avoiding repetition in what is said to the child.
c. conveying empathy and acknowledging the child's distress.
d. minimizing opportunities for exercise and play.
e. explaining and reinforcing reality to avoid distortions.
f. staying with the child until his anxiety decreases.
A, C, E, F
The child's symptoms and behavior suggest that he is exhibiting moderate anxiety. Interventions appropriate for this level of anxiety include using a calm, reassuring tone, acknowledging the child's distress, repeating content as needed when there is impaired cognitive processing and memory, providing opportunities for comforting and normalizing play and physical activities, correcting any distortion of reality, and staying with the child to increase his sense of security.
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