During an assessment of an 11-year-old boy, the nurse notes that ...

[clmills979]

During an assessment of an 11-year-old boy, the nurse notes that the child does not recall events from two hours ago.
 
  Past history indicates that the child was removed and placed in foster care three days ago because of neglect and severe physical abuse. The nurse anticipates that the diagnosis for the child will be: 1. Dissociative fatigue.
   2. Post-traumatic stress disorder.
   3. Dissociative amnesia.
   4. Dissociative identity disorder.

Question 2

An 8-year-old girl has been brought to the emergency room after being in a motor vehicle accident, which killed her brother and mother. The doctor orders Proponolol for the child. The nurse knows that this order:
 
  1. Should be questioned because of the age of the child.
   2. Is preparing the child for the operating room.
   3. Can help decrease the risk of post-traumatic stress disorder in children.
   4. Requires parental consent.

[adf223]

Answer to Question 1

3
Feedback
1. An assessment for fatigue is not indicated.
2. PTSD will cause frequent recall of the traumatic events.
3. The child is stepping away from remembering what occurred and does not have any memory of the events at this time.
4. The child can identify with himself and is not demonstrating destructive behaviors.

Answer to Question 2

3
Feedback
1. A child of this age can have the medication.
2. The question does not indicate the use of the operating room, so Proponolol will not help the child in this situation.
3. Proponolol can help decrease the post-traumatic stress in this child due to being part of the accident and being the only survivor.
4. Proponolol does not need parental consent in this situation.

[clmills979]

Thank you

[adf223]

No problemo