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 7-year-old who has a parent who is in prison.

A 12-year-old who failed an algebra test.

A 13-year-old who forgot their lunch at home.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A child’s perception of their parent being mean because they can’t have a dog does not qualify as an adverse childhood experience (ACE). ACEs are traumatic events that can have lasting, negative effects on health and well-being.

Choice B rationale:

Having a parent in prison is considered an ACE. This situation can cause significant stress and instability in a child’s life, potentially leading to long-term health and social issues.

Choice C rationale:

Failing a test, while potentially stressful, is not considered an ACE. It’s a common part of academic life and does not typically result in long-term trauma.

Choice D rationale:

Forgetting lunch at home is not considered an ACE. While it may be an inconvenience, it does not constitute a traumatic event.

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Correct Answer is A

Explanation

Choice A rationale:

Asking the client about the lethality of their plan is the most appropriate action. This allows the nurse to assess the immediate risk to the client’s safety.

Choice B rationale:

Encouraging the client to focus on the positive aspects of life may be helpful in some situations, but it does not address the immediate safety concern.

Choice C rationale:

Reassuring the client that everything is going to work out may provide temporary relief, but it does not address the immediate safety concern.

Choice D rationale:

Allowing the client time alone to self-reflect is not appropriate in this situation as it could increase the risk of self-harm.

A. Shakiness B. Depersonalization. C. Voice tremors. D. Poor concentration.

Correct Answer is B

Explanation

B)Depersonalization: Depersonalization, which involves feeling detached from one's own body or thoughts, is a key symptom of panic-level anxiety. It occurs when the client feels as though they are observing themselves from outside their body or disconnected from reality, often as a coping mechanism to manage the intense distress experienced during a panic attack.

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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 newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?.

Correct Answer is A

Explanation

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?.

Correct Answer is B

Explanation

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?.

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A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?.

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