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 D

Explanation

Choice A rationale:

Pill rolling movements and drooling are symptoms of Parkinson’s disease, not serotonin syndrome.

Choice B rationale:

Suicidal ideations are a serious mental health concern, but they are not a symptom of serotonin syndrome.

Choice C rationale:

Tinnitus and jerking movements can be symptoms of various conditions, but they are not typically associated with serotonin syndrome.

Choice D rationale:

Dilated pupils and loss of muscle coordination are symptoms of serotonin syndrome, which can occur due to an excess of serotonin, often as a result of a combination of medications.

A. "I was in a car crash 2 weeks ago and I have nightmares when I sleep.”. B. "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”. C. "I was physically abused when I was a child and have frequent flashbacks since then.”. D. "My parents fought a lot when I was a child.

Correct Answer is A

Explanation

Choice A rationale:

The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.

Choice B rationale:

This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.

Choice C rationale:

Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.

Choice D rationale:

The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.

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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?.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?.

Correct Answer is D

Explanation

A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?.

Correct Answer is A

Explanation

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