A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

"My parents divorced when I was 13 years old."

"We always had plenty of food in the house to eat."

"I was teased at school for wearing dirty clothes every day for weeks,"

"My parents would get in physical altercations."

"My parent went to prison when I was 12 years old."

"My parent would swear often at my sibling and I."

Answer and Explanation

Correct Answer : A,C,D,E,F

A. "My parents divorced when I was 13 years old." Divorce is recognized as an adverse childhood experience (ACE) because it can create emotional instability, financial stress, and changes in family dynamics, potentially affecting long-term mental health outcomes.
B. "We always had plenty of food in the house to eat." Having consistent access to food suggests a stable home environment, which is not classified as an ACE. Adverse experiences often include neglect, which involves a lack of basic needs such as food, shelter, or medical care.
C. "I was teased at school for wearing dirty clothes every day for weeks." Persistent neglect, such as not having clean clothing, can indicate parental neglect—one of the recognized ACEs. This can contribute to feelings of shame, social isolation, and long-term psychological distress.
D. "My parents would get in physical altercations." Witnessing domestic violence is a significant ACE that can lead to long-term emotional trauma, increased risk of anxiety, depression, and difficulty forming healthy relationships later in life.
E. "My parent went to prison when I was 12 years old." Parental incarceration is a recognized ACE, as it can cause emotional distress, economic hardship, and social stigma, increasing the child's risk for mental health disorders and substance use.
F. "My parent would swear often at my sibling and I." Verbal abuse, including frequent swearing or demeaning language, is a form of emotional abuse. Emotional abuse is a major ACE that can contribute to low self-esteem, difficulty regulating emotions, and increased vulnerability to mental health conditions.

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Correct Answer is C

Explanation

A. Hyperkalemia. Clients with anorexia nervosa typically experience hypokalemia rather than hyperkalemia due to severe malnutrition, vomiting, and excessive diuretic or laxative use. Potassium depletion can lead to life-threatening cardiac complications.
B. Hyperglycemia. Anorexia nervosa is associated with hypoglycemia due to prolonged fasting, malnutrition, and depleted glycogen stores. Clients often have low blood glucose levels rather than elevated ones.
C. Lanugo. The development of fine, downy body hair (lanugo) is a classic sign of anorexia nervosa. This occurs as the body adapts to extreme weight loss and malnutrition by trying to conserve heat due to the lack of body fat.
D. Swollen parotid glands. While swollen parotid glands are common in bulimia nervosa due to frequent vomiting, they are not a defining feature of anorexia nervosa unless the client engages in purging behaviors.

A. Bullying B. Stalking C. Assault D. Abandonment

Correct Answer is B

Explanation

A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.

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A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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