Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior?
A. Under no circumstances should the PMHNP approach this patient.
B. Prepubertal children typically require medication as they are too young to respond to conversation.
C. Children who have a history of repeated, self-limited, severe tantrums require at least a 72-hour admission.
D. If the child appears to be calming down in the emergency area, the clinician may ask the child for his version of events.
Phillip is a 5-year-old boy who is in care after being referred for failure to speak at school. He has been in kindergarten for 5 months, and initially his teacher thought he was just shy, so she did not focus on him. However, it has become increasingly apparent that he flat out will not speak at school. Phillip’s parents are adamant that there is not any problem at home and that Phillip talks with them and his older sister routinely. Further assessment reveals that he has always been extremely shy and that he doesn’t like it when people make a fuss over him. The PMHNP suspects that Phillip has selective mutism, which is closely related to:
A. A history of sexual abuse
B. Fetal alcohol syndrome
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