Which of the following is an example of an adverse childhood experience (ACE)?

Not being chosen for a sports team

Experiencing physical abuse from a family member

Being teased by classmates

Getting a low grade on a test

Answer and Explanation

The Correct Answer is B

A. Not being chosen for a sports team: While disappointing, this is not considered an ACE because it does not involve abuse, neglect, or household dysfunction.

B. Experiencing physical abuse from a family member: Physical abuse is a recognized ACE, as it can lead to long-term psychological and physical health consequences.

C. Being teased by classmates : Bullying is harmful but is not classified as an ACE unless it involves severe abuse or trauma within the home.

D. Getting a low grade on a test: Poor academic performance is not considered an ACE unless it results from neglect, abuse, or extreme household dysfunction.

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Correct Answer is A

Explanation

A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.

B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.

C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.

D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.

A. The nurse describes what happened by providing general and broad details. B. The nurse includes the client's own words when describing what happened. C. The nurse describes what happened subjectively. D. The nurse includes the opinions of other team members.

Correct Answer is B

Explanation

A. The nurse describes what happened by providing general and broad details. Incident reports should be factual, objective, and specific, not general or vague.

B. The nurse includes the client's own words when describing what happened. Including direct quotes from the client ensures accuracy and avoids interpretation or bias.

C. The nurse describes what happened subjectively. Incident reports must be objective, avoiding personal opinions or assumptions.

D. The nurse includes the opinions of other team members. Only document observable facts and direct quotes—opinions should not be included.

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Which of the following is an example of an adverse childhood experience (ACE)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

Which situation is an exception to the rule of maintaining patient confidentiality?

What is the definition of patient autonomy?

A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?