During a Well Child Examination of a School­age Child from a Family

During a well child examination of a school­age child from a family who recently
immigrated from Africa, the primary care pediatric nurse practitioner learns that the child has been involved in many arguments at school. The parents are concerned that their child will never fit in with classmates. How will the nurse practitioner address this situation?

A) Assess the conditions in the country of origin prior to immigration.
B) Recommend counseling to determine underlying causes of this behavior.
C) Stress that this may be a normal response to feeling different at school.
D) Suggest that the child may be responding to being bullied by others.