A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

Families where caregivers have college degrees or higher

Children who don't feel close to their guardians and don't feel like they can talk to them about their feelings

Families that are isolated from other people, such extended family, friends, and neighbors

Families that include young caregivers or single parents

Answer and Explanation

The Correct Answer is A

A. Families where caregivers have higher levels of education, such as college degrees or higher, tend to have more access to resources, support networks, and knowledge about child development and parenting practices. This can contribute to a more stable and nurturing environment for children, reducing the likelihood of adverse childhood experiences.

B. This option describes a lack of emotional support and connection within the family, which is considered a risk factor rather than a protective factor for adverse childhood experiences.

C. Social isolation can contribute to increased stress and lack of support for both children and caregivers, which may exacerbate the impact of adverse childhood experiences.

D. While single parenthood or having young caregivers may present additional challenges, it is not inherently a risk factor for adverse childhood experiences.

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Correct Answer is A

Explanation

A. This response provides accurate information about the early warning signs of schizophrenia spectrum disorders. Social withdrawal and isolation are commonly observed before the onset of

psychotic symptoms, such as hearing voices. By acknowledging this pattern, the nurse validates the client's experience and offers insight into potential warning signs.

B. This fails to address the client's concern or provide meaningful information about the potential significance of their behavior.

C. While exploring the client's personality traits and how they relate to socialization is valid, this response does not directly address the client's concern about isolating themselves before experiencing symptoms of schizophrenia.

D. This response makes an assumption about the client's motivations for avoiding their friend and implies a connection between social isolation and hearing voices that may not be accurate.

A. Frontotemporal lobar degeneration B. Traumatic brain injury C. HIV infection D. Prion disease

Correct Answer is D

Explanation

A. Frontotemporal lobar degeneration (FTLD), also known as frontotemporal dementia (FTD), is a type of dementia characterized by progressive degeneration of the frontal and temporal lobes of the brain. It is not typically associated with sleep and appetite changes.

B. TBI can cause changes in sleep patterns and concentration difficulties but it is not typically associated with lack of appetite as a primary symptom.

C.While it can lead to neurocognitive disorders, the symptoms might not be as prominent as in other forms of dementia, especially in the early stages.

D. Prion diseases are rare neurodegenerative disorders caused by abnormal protein folding in the brain. These diseases can manifest with a variety of cognitive and neurological symptoms, but lack of sleep, lack of appetite, and difficulties with concentration are not typically prominent features of prion diseases.

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A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices. I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is D

Explanation

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