A nurse is talking with the parent of a child who has a history of trauma and was just diagnosed with dissociative identity disorder. The parent states, "I don't think this is right, my daughter is just doing this for attention." Which of the following responses is the most therapeutic response?
Explanation & Rationale
A. "Our physician is very capable of making an accurate diagnosis, I would trust their judgment": This response deflects the parent's concern rather than addressing it directly. It does not provide education or help the parent understand the role of trauma in dissociative behaviors, limiting therapeutic value. B. "Dissociation is a symptom that can be overlooked in children. Trauma can increase dissociation.": This is a therapeutic response that provides factual information and validates the child’s experience. It educates the parent on the connection between trauma and dissociative symptoms, helping them understand the diagnosis without judgment. C. "Why would your daughter do something like this for attention?": This response is confrontational and may increase defensiveness. It implies blame and does not encourage the parent to engage in understanding or supporting the child’s needs. D. "You're right; dissociative identity disorder is commonly overdiagnosed in children.": This statement validates a misconception and is not therapeutic. It reinforces the parent’s skepticism instead of offering evidence-based education or support.