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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale
Having the child carefully repeat the events of the trauma is not always the best strategy. Repeatedly recounting traumatic events can potentially retraumatize the child.
Choice B rationale
Assessing the child without their caregiver present can be beneficial in some cases, especially if there is a suspicion of abuse by the caregiver. However, in the context of school violence, it might be more beneficial to have a trusted adult present to provide comfort and support.
Choice C rationale
Having toys or drawing materials available for the child is a good strategy. Play and art can be therapeutic for children and can provide a non-threatening way for them to express their feelings and experiences.
Choice D rationale

Focusing solely on the physical domain of health may not provide a comprehensive understanding of the child’s experience. While physical health is important, understanding the child’s emotional and psychological responses to the violence is also crucial.

A. Quality education includes coverage for some medical expenses. B. Individuals who attain a quality education are more likely to secure a job that pays a living wage. C. With a quality education, patients have increased access to virtual visits with primary care physicians. D. Individuals who desire a quality education are required to purchase healthy lunches at school.

Correct Answer is A

Explanation

Choice A rationale
Quality education does not typically include coverage for medical expenses. Education and healthcare are generally considered separate entities, with different funding and administration.
Choice B rationale
Individuals who attain a quality education are indeed more likely to secure a job that pays a living wage. Education often provides the skills and knowledge necessary for higher-paying

jobs, which can lead to improved health outcomes through increased access to healthcare, healthier lifestyles, and better living conditions.
Choice C rationale
While technology and virtual healthcare services are increasingly being integrated into various aspects of society, quality education does not inherently provide increased access to virtual visits with primary care physicians.
Choice D rationale
The requirement to purchase healthy lunches at school is not a characteristic of quality education. While nutrition is important for overall health and academic performance, it is not a defining factor of the quality of education.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

Correct Answer is C

Explanation

A nurse is preparing a presentation for a local public health conference about the correlation between quality education and health outcomes. What information should the nurse include in the presentation?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?

A nurse is educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?

A school nurse receives a telephone call from a parent who suspects their child has coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?