A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

"My parents divorced when I was 13 years old."

"We always had plenty of food in the house to eat."

"I was teased at school for wearing dirty clothes every day for weeks,"

"My parents would get in physical altercations."

"My parent went to prison when I was 12 years old."

"My parent would swear often at my sibling and I."

Answer and Explanation

Correct Answer : A,C,D,E,F

A. "My parents divorced when I was 13 years old." Divorce is recognized as an adverse childhood experience (ACE) because it can create emotional instability, financial stress, and changes in family dynamics, potentially affecting long-term mental health outcomes.
B. "We always had plenty of food in the house to eat." Having consistent access to food suggests a stable home environment, which is not classified as an ACE. Adverse experiences often include neglect, which involves a lack of basic needs such as food, shelter, or medical care.
C. "I was teased at school for wearing dirty clothes every day for weeks." Persistent neglect, such as not having clean clothing, can indicate parental neglect—one of the recognized ACEs. This can contribute to feelings of shame, social isolation, and long-term psychological distress.
D. "My parents would get in physical altercations." Witnessing domestic violence is a significant ACE that can lead to long-term emotional trauma, increased risk of anxiety, depression, and difficulty forming healthy relationships later in life.
E. "My parent went to prison when I was 12 years old." Parental incarceration is a recognized ACE, as it can cause emotional distress, economic hardship, and social stigma, increasing the child's risk for mental health disorders and substance use.
F. "My parent would swear often at my sibling and I." Verbal abuse, including frequent swearing or demeaning language, is a form of emotional abuse. Emotional abuse is a major ACE that can contribute to low self-esteem, difficulty regulating emotions, and increased vulnerability to mental health conditions.

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Correct Answer is D

Explanation

A. Treatment is usually enough to overcome any social determinants. This statement is misleading, as social determinants of health significantly impact mental health and treatment outcomes. Effective treatment often requires addressing these determinants rather than relying solely on clinical interventions.
B. The client will be unable to change any of their social determinants of health. This is not accurate; while some social determinants can be challenging to change, individuals and communities can work towards improving their circumstances through support and resources.
C. Social determinants of health are mostly negative effects on a person's physical health. While social determinants can negatively affect physical and mental health, they also encompass positive factors that can support well-being, such as access to education and social support.
D. Social determinants can be an advantage or a challenge to treatment for an SMI. This statement accurately reflects that social determinants, such as socioeconomic status, community support, and access to healthcare, can either facilitate or hinder the treatment and recovery process for individuals with serious mental illnesses.

A. Somatic symptom disorder B. Factitious disorder C. Functional neurological symptom disorder D. Illness anxiety disorder

Correct Answer is D

Explanation

A. Somatic symptom disorder. This disorder involves excessive concern over physical symptoms that are actually present, even if they are mild. In contrast, illness anxiety disorder is characterized by intense fear of having a serious illness despite the absence of significant physical symptoms.
B. Factitious disorder. Factitious disorder involves deliberately fabricating or inducing symptoms to assume the sick role. In illness anxiety disorder, the client genuinely believes they are ill but does not intentionally create symptoms.
C. Functional neurological symptom disorder. This condition, previously called conversion disorder, involves neurological symptoms (e.g., paralysis, blindness) that cannot be explained by medical findings. Unlike illness anxiety disorder, these symptoms are involuntary and not focused on a fear of disease.
D. Illness anxiety disorder. This disorder, formerly known as hypochondriasis, involves excessive worry about having a severe illness despite little or no medical evidence. The client’s persistent health-related anxiety and frequent medical visits align with this diagnosis.

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A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)

A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)

A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

A community health nurse is presenting epidemiological and etiological data related to somatic symptom disorder and related disorders. Which of the following information should the nurse include?

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?