A mother requests information on caring for her child just adopted from a foreign orphanage. The mother has heard of reactive attachment disorder (RAD) and wants to provide an environment that is appropriate for this child
What suggestion by the nurse is the most appropriate?
A.
Ignore temper tantrums and crying fits.
B.
Post a schedule of daily activities such as meals.
C.
Put the child in psychotherapy.
D.
Teach the child "stranger danger."
ANS: B
In creating an environment supportive of a child who is at risk for RAD, the nurse must explain that these children have no concept of what basic needs will be met, if any. Posting a schedule of daily activities (wake up, meals, leave for school, bedtime) is a visual reminder to the child that those needs will be met in this home. Parents of children should respond to crying and temper tantrums with patience; they should not ignore this behavior. Families with a child diagnosed with RAD do need therapy; however, this will not help the mother immediately create a home environment conducive to this child. Children with RAD do have boundary issues; the child should be taught "stranger
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