A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences.
Which of the following family characteristics is a protective factor against adverse childhood experiences?
Families that are isolated from other people, such as extended family, friends, and neighbors.
Families where caregivers have college degrees or higher.
Families that include young caregivers or single parents.
Children who don’t feel close to their guardians and don’t feel loved.
The Correct Answer is B
Choice A rationale
Families that are isolated from other people, such as extended family, friends, and neighbors, are not typically considered a protective factor against adverse childhood experiences. Social isolation can actually increase the risk of mental health issues, as it can lead to feelings of loneliness and lack of social support.
Choice B rationale
Families where caregivers have college degrees or higher can often provide a more stable environment, both emotionally and financially. Higher levels of education are often linked to
better understanding of child development and more effective parenting strategies. Additionally, higher education is often associated with higher income, which can reduce stressors related to financial instability.
Choice C rationale
Families that include young caregivers or single parents can face additional stressors, such as financial strain and lack of social support, which can increase the risk of adverse childhood experiences. Therefore, this is not typically considered a protective factor.
Choice D rationale
Children who don’t feel close to their guardians and don’t feel loved are at a higher risk of developing mental health disorders. Feeling unloved and uncared for can lead to feelings of insecurity, low self-esteem, and difficulty forming healthy relationships later in life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Limited access to primary care providers is a significant disadvantage related to health insurance for clients who live in rural communities. Rural areas often have fewer healthcare providers, which can make it difficult for residents to receive the care they need. This can lead to delays in care, unmet health needs, and worsening of existing health conditions.
Choice B rationale
While the availability of managed care insurance can vary by location, this is not a disadvantage specific to rural communities. Both urban and rural areas can have limited availability of certain types of health insurance.
Choice C rationale
Financial risk that is typical of underinsured clients is not specific to rural communities. Both urban and rural residents can be underinsured, which can lead to significant out-of-pocket costs and financial strain.
Choice D rationale
Lack of government-provided health insurance is not a disadvantage specific to rural communities. Government-provided health insurance programs, such as Medicare and Medicaid, are available to eligible individuals regardless of whether they live in an urban or rural area.
Correct Answer is D
Explanation
Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.
Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.
Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.
Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.
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