73  The PMHNP is providing counseling for the family of a 6-year-old girl who was recently adopted

73  <br/>The PMHNP is providing counseling for the family of a 6-year-old

girl who was recently adopted. This girl reportedly was removed from a home in which she was subjected to severe, long-term abuse in all forms: neglect, physical abuse, sexual abuse, malnutrition, and neglect of all medical care. Upon her rescue, which was incidental during a drug raid on the home, she was hospitalized for over 1 month for physical maintenance, nutrition, hydration, and treatment for a variety of infections, including sexually transmitted diseases. The adoptive family is very committed to providing a healthy environment and is very receptive to long-term individual and family therapy. The PMHNP discusses with the new parents and siblings that which of the following is most often linked to this type of history:

A. Dissociative disorders
B. Negative attachment
C. Aggression toward siblings
D. School refusal

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