A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?
A 6-year-old who says, “My mom is mean because I can’t have a dog.”.
A 12-year-old who failed an algebra test.
A 13-year-old who forgot their lunch at home.
A 7-year-old who has a parent who is in prison.
The Correct Answer is D
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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A rationale
Including the opinions of other team members in the documentation may introduce bias and is not a best practice for ensuring competency in documentation.
Choice B rationale
Including the client’s own words when describing what happened is a best practice in documentation. It ensures accuracy and allows for an objective record of the incident.
Choice C rationale
Describing what happened subjectively may introduce personal bias into the documentation and is not a best practice for ensuring competency in documentation.
Choice D rationale
Providing general and broad details may not accurately capture the incident. Specific, factual, and detailed documentation is a best practice.
Correct Answer is C
Explanation
Choice A rationale
While voice tremors can be a symptom of anxiety, they are not specifically associated with panic level anxiety. Voice tremors could be due to a variety of factors, including nervousness, fear, or certain medical conditions.
Choice B rationale
Shakiness can be a symptom of anxiety, but it is not specific to panic level anxiety. It could be a physical response to fear, stress, or even low blood sugar.
Choice C rationale
Depersonalization, a feeling of being detached or disconnected from oneself, is a common symptom of panic level anxiety. Individuals may feel as if they are observing themselves from an outside perspective.
Choice D rationale
Poor concentration can be a symptom of many mental health conditions, including anxiety. However, it is not specific to panic level anxiety and can be influenced by a variety of factors, such as stress, lack of sleep, or certain medications.
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