A child was placed in a foster home after being removed from abusive parents. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. Which interventions should the nurse suggest?
Select all that apply.
a. Use a calm manner and low voice.
b. Maintain simplicity in the environment.
c. Avoid repetition in what is said to the child.
d. Minimize opportunities for exercise and play.
e. Explain and reinforce reality to avoid distortions.
ANS: A, B, E
The child has moderate anxiety. A calm manner will calm the child. A simple, structured, predictable environment is desirable to decrease anxiety provoking and reduce stimuli. Calm, simple explanations that reinforce reality validate the environment. Repetition is often needed when the individual is unable to concentrate because of elevated levels of anxiety. Opportunities for play and exercise should be provided as avenues to reduce anxiety. Physical movement helps channel and lower anxiety. Play helps by allowing the child to act out concerns.
You might also like to view...
When reviewing the medical records of several clients being cared for by a community health nurse, the nurse notes that a mutual company is paying for the services. The nurse identifies this pay source as which of the following?
A) Private insurance company B) Government health program C) Self-insured health plan D) Claims payment agent
The nurse caring for the client with a paranoid personality disorder tells the advanced practice nurse
"I tried being caring and nurturing, but the client just kept telling me to stay away.". The advanced practice nurse can be helpful by advising "Clients with paranoid personality disorders respond best to a. a cynical, joking approach.". b. interpretation of their behaviors.". c. a neutral but courteous and concerned manner.". d. active friendliness, but they require a longer time to establish a relationship than you allowed.".
The nurse assesses a patient who is receiving interleukin-2. Which finding should the nurse report immediately to the health care provider?
a. Generalized muscle aches b. Complaints of nausea and anorexia c. Oral temperature of 100.6° F (38.1° C) d. Crackles heard at the lower scapular border
What kinds of hospital care will Medicare no longer reimburse?
A. Consultation with a physician if an advanced practice nurse is available B. Inpatient care if such procedures can be done on an outpatient basis C. Prescription drugs when generic drugs are available D. Preventable medical complications such as injuries from falls