Test Bank forPsychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition: A How-To Gui

Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: Synthesize the key ideas in the biopsychosocial theories that help you understand the development of childhood psychiatric disorders.

Question 5 Type: MCSA 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 Correct Answer: 2 Rationale 1: 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 clients 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 childs coping mechanisms. Providing for unmet needs is not specific or individualized and will be difficult to measure.

Rationale 2: 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