NR 606 week 7 Questions and Answers

NR 606 week 7 Questions and Answers Family Risk Factors caregiving challenges Caregiving challenges related to children with disabilities, mental health issues, or chronic physical illnesses A limited understanding of children's needs or development Caregivers who were abused or neglected as children Young caregivers or single parents Low income or low levels of education High levels of parenting stress or economic stress Isolation High conflict and negative communication styles Attitudes accepting of or justifying violence or aggression Factors That Promote Resilience Close relationships with skilled caregivers or other caring adults Caregiver knowledge and use of positive parenting skills Having a sense of purpose (faith, culture, identity) Individual competencies (problem-solving skills, self-regulation, autonomy) Opportunities to connect socially Access to support services for parents and families Community support resources Trauma-informed care - know elements is essential for caring for clients who have experienced adversity. The Substance Abuse and Mental Health Services Administration (SAMHSA, 2014) identified six guiding principles for trauma-informed care. These principles help the provider to better understand the impact of trauma on a client's life and effectively determine a treatment plan. They also are key to avoiding retraumatization. Safety: Safety is the most fundamental principle to avoiding retraumatization. Creating a physical setting and client-provider interactions that generate physical and psychological safety are foundational to providing trauma-informed care. Trust and Transparency: Establishing a trusting relationship or therapeutic alliance is critical to the trauma-informed approach. Trust may be established through engagement in kind, respectful interactions, empowering intake procedures, and transparency in discussions of treatment goals and modalities appropriate to the client's developmental level. Peer Support: Providing opportunities for connecting with other trauma survivors may help to establish safety, foster hope, and promote healing through shared experience. Collaboration: Empowering the client to play an active role in decisions about their treatment, when developmentally appropriate, fosters a sense of responsibility and helps to balance the level of power between the provider and client. Empowerment & Choice: Listening to and acknowledging the client will help them find their voice and give them a sense of control over their story. Prioritizing choice empowers clients to be partners in their care, which can promote self-efficacy, agency, and dignity. Cultural, Historical, and Gender Awareness: Trauma-informed care acknowledges that some trauma may be a result of a client's culture, historical events such as war or confli PTSD in children manifestations including dissociative symptoms may include depersonalization (feelings of detachment from one's own body), or derealization (feelings that one's surroundings are not reality) PTSD may develop after exposure to a traumatic event. Approximately 5% of adolescents and 3.6% experience PTSD each year. Although any person who experiences a traumatic event may develop PTSD, examine the image below to learn more about those at increased risk. Intrusion symptoms: Recurrent, intrusive memories of the trauma; children may engage in repetitive play expressing themes of the trauma. Distressing dreams or nightmares Dissociative reactions, or flashbacks Intense psychological distress or physiological reactions when exposed to cues that symbolize or represent an aspect of the trauma Avoidance symptoms: Avoidance of distressing memories, thoughts, or feelings Avoidance of reminders, including people, places, situations, of the traumatic event Negative cognitive or mood symptoms: Memory deficits surrounding the traumatic event Exaggerated negative beliefs of self or environment Distorted cognitions and self-blaming behaviors related to the cause or consequences of trauma Persistent negative emotions, including anger, guilt, fear, or shame Feelings of detachment from others Persistent inability to experience positive emotions Social withdrawal in children under the age of 6 Arousal or reactivity symptoms: Irritability and verbal or physical aggression Reckless or risk-taking behaviors Hypervigilance Concentration difficulty Exaggerated startle response Sleep disturbances Dissociative symptoms are common In both acute stress disorder and PTSD. Dissociation may include depersonalization (feelings of detachment from one's own body), or derealization (feelings that one's surroundings are not reality). Examine the image below to learn more about dissociatio The child's symptoms have been present for 2 months; adjustment disorder is most likely. Symptoms do not meet criteria for other diagnoses.