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 D
Explanation
Choice A rationale
A child expressing that their parent is mean because they can’t have a dog does not constitute an adverse childhood experience (ACE). This is a common situation where a child might be upset due to not getting what they want, but it does not indicate any form of abuse, neglect, or household dysfunction that are typically associated with ACEs.
Choice B rationale
Failing an algebra test is a part of the academic challenges that students face and does not constitute an ACE. While it can be a source of stress for the child, it is not an indicator of abuse, neglect, or household dysfunction.
Choice C rationale
Forgetting lunch at home is a common occurrence among children and does not indicate an ACE. It could be a simple oversight or a result of a chaotic morning routine. It does not suggest abuse, neglect, or household dysfunction.
Choice D rationale
Having a parent who is in prison is considered an ACE. This situation falls under the category of household dysfunction. The incarceration of a parent can lead to a loss of financial stability, emotional support, and the social stigma associated with it can lead to feelings of shame and isolation for the child.
Correct Answer is C
Explanation
Choice A rationale
Agoraphobia is characterized by a fear of being in situations where escape might be difficult or embarrassing, or help might not be available in the event of panic symptoms. This does not align with the child’s symptoms of not being able to speak in class or other social situations.
Choice B rationale
Generalized anxiety disorder is characterized by excessive, uncontrollable worry about a variety of topics and is not specific to social situations. The child’s symptoms are more specific to social situations, which does not align with generalized anxiety disorder.
Choice C rationale
Selective mutism is an anxiety disorder characterized by a consistent failure to speak in specific social situations in which there is an expectation for speaking, despite speaking in other situations. This aligns with the child’s symptoms of not being able to speak during class and other social situations.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached. The child’s symptoms do not indicate a fear of separation, but rather a fear of speaking in social situations.
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