Which activity would be appropriate to provide for a child who ...

[asd123]

Which activity would be appropriate to provide for a child who has difficulty expressing angry feelings in an acceptable manner?
 
  1. Kicking a football across the day room to another client
  2. Painting a picture in the activities room
  3. Working on an intricate project with a peer
  4. Pounding on a woodworking project in the activities room

Question 2

A 6-year-old has been on the inpatient children's unit for 3 weeks and is preparing for discharge. Acting-out behavior has decreased, and she has been attending school and completing her work on time. She has begun to trust the staff and seek them out.
 
  For what reason might she start to act out again as discharge approaches?
  1. Her compliance in the hospital was a way to obtain positive attention.
  2. The treatment was not as effective as the staff had thought.
  3. She is having difficulty terminating positive relationships.
  4. She is trying to have her hospital stay lengthened.

[nicoleclaire22]

Answer to Question 1

ANS: 4
Pounding in a safe, structured environment would enable release of anger onto a neutral object. Option 1 is an unsafe activity indoors. Option 2 limits self-expression. Option 3 may be frustrat-ing because of the intricacy factor.

Answer to Question 2

ANS: 3
Termination is difficult for adults and even more difficult for children, who have difficulty un-derstanding why a satisfying relationship cannot continue indefinitely. Acting out is a way of showing displeasure over events and of drawing attention to the client's pain. Options 1 and 2 are explanations that reflect negatively on the outcomes of the treatment. Option 4: It is unlikely that she really wishes to remain in the hospital.