The nurse observes an 8-year-old child regressing to behavior ...

[colton]

The nurse observes an 8-year-old child regressing to behavior that is characteristic of a toddler when faced with new situations. The child has been in several foster care families over the past three years.
 
  Which of the following interventions is appropriate for this child? 1. Providing for unmet needs
  2. Providing consistency and continuity of caregivers
  3. Ignoring the regressive behavior
  4. Ignoring the negative behavior and reinforcing the positive behavior

Question 2

The nurse is preparing an in-service regarding the commonalties of anxiety disorders. The nurse should plan to include that all anxiety disorders have which one thing in common?
 
  1. All anxiety disorders can be so disabling that functioning may be adversely affected.
  2. All anxiety disorders require treatment with medication.
  3. All anxiety disorders first occur during adolescents.
  4. All anxiety disorders cause depression.

[juicepod]

Answer to Question 1

2
Rationale: Defense mechanisms commonly employed by children are repression, reaction formation, and projection. The child comes to deal with the world through these distorted views in an attempt to defend against painful unconscious issues. Providing the child with consistency and continuity of caregivers will minimize situations that stimulate regression. The nurse will be able to evaluate the client's response to having consistency and continuity of caregivers. The nurse must recognize this behavior as a defense mechanism, and plan care that will strengthen the child's coping mechanisms. Providing for unmet needs is not specific or individualized and will be difficult to measure.

Answer to Question 2

1
Rationale: People with these disorders have one thing in common: anxiety so disabling that their functioning is adversely affected. The functional disabilities they have may affect all dimensions of life, including physical, emotional, cognitive, sociocultural, and spiritual, as well as social, work, and family relationships. There is no evidence to support the other answers.