A nurse is assessing children for reactive attachment disorder ...

[Collmarie]

A nurse is assessing children for reactive attachment disorder (RAD). Which child would the nurse identify as being at highest risk for this disorder?
 
  A.
  Adopted from foreign orphanage
  B.
  Given care by extended family
  C.
  Placed in day care at 3 months
  D.
  Unmarried, cohabitating parents

Question 2

A school nurse is speaking with the parents of a child identified as possibly being at risk of suicide. Which question by the nurse is the priority during the nursing assessment?
 
  A.
  Do you have any guns in your home?
  B.
  Does your child have any close friends?
  C.
  Has your child been hoarding objects?
  D.
  Is your child ever left alone at home?

[14vl19]

Answer to Question 1

ANS: A
Children with RAD have not experienced consistent and nurturing parenting. They have often endured abuse, neglect, and abandonment. A child adopted from an orphanage would have the highest risk of RAD.

Answer to Question 2

ANS: A
The most common methods of committing suicide in children and adolescents are firearms (46), suffocation (37), and poisoning (8). The most important question the nurse can ask in the options listed is whether or not the family has guns in the home. Typically the suicidal youth will distance from friends and give away prized objects. Being left alone may or may not be relevant, but is not as important as assessing if the child has a means to carry out a plan.

[Collmarie]

Thanks for the timely response, appreciate it

[gcook]

Gracias!