A 10-year-old child hospitalized for anxiety and worry after witnessing intimate partner violence is most likely to benefit from which nursing intervention?

Choice A reason: While focusing on positive memories can be a component of resilience-building, it may inadvertently encourage the suppression of trauma in a child who has witnessed violence. Nursing care must first address the child's current psychological distress and safety rather than merely redirecting thoughts away from the traumatic event. Choice B reason: Journaling can be an effective therapeutic tool for adolescents or adults, but for a 10-year-old child experiencing acute anxiety post-trauma, it may be overwhelming. Without a stable therapeutic foundation, asking a child to revisit traumatic experiences independently through writing could potentially trigger further emotional dysregulation or secondary traumatization. Choice C reason: Deep breathing exercises are valuable somatic interventions for managing the physiological symptoms of anxiety. However, for a child who has witnessed intimate partner violence, the priority is establishing a sense of safety and trust. Relaxation techniques are secondary to the primary need for a secure therapeutic relationship. Choice D reason: Establishing therapeutic rapport is the foundational step in trauma-informed care for children. Providing anticipatory guidance helps the child and guardians understand that their reactions are normal responses to abnormal events. This builds a safe environment, allowing the child to feel supported while navigating the complexities of their emotional recovery.