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91Ó°ÊÓ

When a family adopts a child with special needs, which of the following behaviors by the child would the nurse identify as indicative of the "storm period?" 1\. Visits with the prospective parents. 2\. Child is on best behavior. 3\. Child may have tantrums. 4\. Child attends to outside interests.

Short Answer

Expert verified
Option 3, "Child may have tantrums," is indicative of the "storm period."

Step by step solution

01

Understand the Terms

In the context of adoption, the "storm period" refers to a phase when the child shows challenging behaviors as they adjust to their new situation. This is contrasted with behaviors that indicate initial excitement or interest.
02

Analyze Each Option

1. "Visits with the prospective parents" - This behavior indicates a phase where the child is getting to know the new family, which is usually prior to the storm period. 2. "Child is on best behavior" - Typically occurs prior to the storm period, as the child is trying to please. 3. "Child may have tantrums" - Suggests the child is experiencing difficulties adjusting, which aligns with the storm period. 4. "Child attends to outside interests" - This indicates the child is more settled and engaging outside the family, not characteristic of the storm period.
03

Identify the Correct Answer

From the analysis, Option 3, "Child may have tantrums," indicates challenging behavior typical of the 'storm period'. This is a time of adjustment when the child tests boundaries and starts to show genuine emotions and behaviors.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Understanding the 'Storm Period' in Adoption
When a child is newly adopted, they go through a transitional phase often termed as the "storm period." During this time, the child may exhibit challenging behaviors as they grapple with a variety of emotions and the reality of their new environment. Unlike initial interactions, where a child may be on their best behavior to please their new parents, the storm period is characterized by more genuine expressions of emotion.
The child may display behaviors such as:
  • Frequent tantrums and emotional outbursts.
  • Testing boundaries set by the adoptive parents.
  • Resistance to certain changes or routines.
These behaviors are natural and part of the child's attempt to adjust and find stability. It's important for adoptive families to view these actions as a normal part of the adoption process, rather than taking them personally or as a sign of rejection.
Adjustment Phases in Adoption
Adoption is a journey with multiple stages of adjustment that both the child and family experience. Initially, during the honeymoon phase, the child may appear well-behaved, striving to fit into their new environment. However, this eventually shifts to the storm period as the child begins to process their new reality, testing their limits.
After the storm period, usually comes the adjustment phase, where the child starts to understand and accept their new surroundings.

A few things that may happen during this phase include:
  • Development of routine and consistency in daily activities.
  • Building trusting relationships with family members.
  • Feeling more secure and comfortable in the new environment.
Ultimately, the goal is for the child to reach a stable and secure phase, having built strong bonds and feeling a sense of belonging within the family.
Nursing Interventions for Adopted Children
Nurses play an essential role in supporting newly adopted children as they transition into their adoptive families. Understanding the emotional and psychological needs of these children is crucial in providing them the support they need.
Nurses may use interventions such as:
  • Providing education to adoptive parents about typical behaviors and development during adjustment phases.
  • Offering counseling support for both children and parents to help deal with behavioral challenges.
  • Planning care strategies that include emotional support and helping establish healthy routines.
These interventions help in creating a structured yet nurturing environment, thus facilitating a smoother transition and stronger family bonds. Additionally, nurses should advocate for ongoing support and resources tailored to the specific needs of adopted children and their families.

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Most popular questions from this chapter

A client reports that he will not develop alcohol-related problems because he takes vitamins every day. The nurse's best response would be: 1\. "That is excellent. A nutritious diet will protect drinkers from alcohol- related health problems." 2\. "The major problems in people abusing alcohol are not compounded by poor nutrition." 3\. "The choices you make about types of foods you eat will not affect how alcohol affects you." 4\. "There are no assurances that taking vitamins will prevent liver disease or other health problems associated with drinking."

A client diagnosed with bipolar disease is running in the halls and entering other client's rooms. Select the nurse's best response. 1\. "You need to walk with me to get some medicine to help you calm down." 2\. "You need to stay out of other peoples rooms." 3\. "If you cannot stay in the living area, you will need to stay in your room." 4\. "Why are you running in the halls?"

Parents of a 14-year-old child who is being treated for marijuana use discuss the child's apathy and lack of desire to achieve. The nurse explains that: 1\. this is typical teenage behavior and not related to the marijuana use. 2\. prolonged marijuana use causes amotivational syndrome. 3\. this behavior is a precursor to a psychotic stage. 4\. the behavior is due to the physical dependence on the drug.

A client diagnosed with bipolar disease has begun a regimen of lithium. The most critical issue for the first two weeks is: 1\. monitoring the blood pressure. 2\. educating about side effects of the medicine. 3\. ensuring blood levels reach a therapeutic level. 4\. ascertaining that the client receives the full dose.

A client is admitted to an acute care psychiatric center for reported (PCP) intoxication. The nurse expects the client to: 1\. be withdrawn. 2\. have impulsive behavior. 3\. be euphoric and happy. 4\. have severe withdrawal symptoms.

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