A child, age 5, was admitted to the children's unit, having been ...

[anjilletteb]

A child, age 5, was admitted to the children's unit, having been sexually abused by an acquaint-ance of her family.
 
  The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?
  1. Individual communication with the nurse
  2. Play therapy
  3. Family therapy
  4. Role-play with other children on the unit

Question 2

A child, age 9, is being evaluated in the Emergency Department at the hospital. Her mother re-ports that the child fell down the stairs in her home. Her mother is with her and describes her as a clumsy kid.
 
  The nurse practitioner suspects child abuse. Which of these findings indicates that physical abuse may be a chronic problem for the child?
  1. Bloody nose and blackened eyes
  2. Unhealed fractures revealed on x-ray
  3. Clinging to her mother as she attempted to leave
  4. Struggling with the staff that attempts to obtain a blood specimen

[owenfalvey]

Answer to Question 1

ANS: 2
Play helps communicate and release feelings about the child's problems. Option 1 is incorrect because a 5-year-old may have difficulty expressing feelings verbally. Option 3 is incorrect be-cause family therapy may be useful, but it is not designed for releasing feelings. Option 4 is in-correct because role-playing is more effective with older children or adults.

Answer to Question 2

ANS: 2
Unhealed fractures indicate that medical intervention was not sought at the time of injury. Op-tion 1 indicates recent injury. Option 3 is normal behavior. Option 4 could be prompted by fear of the unknown or pain.