A 10-year-old child was placed in a foster home after being removed from parental contact because of abuse. The child has apprehension, tremulousness, and impaired concentration
The foster parent also reports the child has an upset stomach, urinates frequently, and does not understand what has happened. What helpful measures should the nurse suggest to the foster parents? The nurse should recommend: (select all that apply)
a. conveying empathy and acknowledging the child's distress.
b. explaining and reinforcing reality to avoid distortions.
c. using a calm manner and low, comforting voice.
d. avoiding repetition in what is said to the child.
e. staying with the child until the anxiety decreases.
f. minimizing opportunities for exercise and play.
ANS: A, B, C, E
The child's symptoms and behavior suggest that he is exhibiting posttraumatic stress disorder. 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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