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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Paroxetine is a type of selective serotonin reuptake inhibitor (SSRI) that is commonly prescribed for the treatment of PTSD6. It works by increasing the levels of serotonin, a neurotransmitter that helps regulate mood, in the brain.
Choice B rationale
Semaglutide is a medication used to control blood sugar levels in people with type 2 diabetes. It is not typically used in the treatment of PTSD.
Choice C rationale
Tramadol is a prescription pain medication used to treat moderate to severe pain. While it can help manage physical symptoms that may accompany PTSD, it is not typically used as a primary treatment for the disorder.
Choice D rationale
Zaleplon is a medication used to treat insomnia. While it can help manage sleep disturbances that may accompany PTSD, it is not typically used as a primary treatment for the disorder.
Correct Answer is D
Explanation
Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These
concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.
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