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 D

Explanation

A. Nausea and vomiting. While some antipsychotic medications may cause gastrointestinal side effects, nausea and vomiting are not characteristic of tardive dyskinesia. Tardive dyskinesia specifically affects involuntary motor control.
B. Hallucinations and delusions. These are symptoms of psychotic disorders, not side effects of tardive dyskinesia. While some antipsychotic medications can cause paradoxical worsening of psychosis, tardive dyskinesia primarily involves involuntary movements rather than psychiatric symptoms.
C. Seizures and tremors. Some antipsychotics lower the seizure threshold, increasing seizure risk, while tremors are more associated with drug-induced parkinsonism. However, these are different from the repetitive, involuntary movements seen in tardive dyskinesia.
D. Uncontrolled movements around the mouth. Tardive dyskinesia is a serious side effect of long-term antipsychotic use, characterized by involuntary movements, especially around the mouth, tongue, and face (e.g., lip smacking, tongue protrusion, and grimacing). These movements can become permanent, making early detection and intervention crucial.

A. "I don't eat because I do not like the taste of food." B. "I restrict myself to 2,000 calories per day." C. "I have certain foods, like pizza, that cause me a lot of fear." D. "I don't bother to track the number of calories I eat in a week."

Correct Answer is C

Explanation

A. "I don't eat because I do not like the taste of food." Clients with anorexia nervosa typically avoid food due to intense fears of weight gain and body image concerns rather than a dislike for taste. Their restrictive eating is driven by psychological distress rather than a simple aversion to flavor.
B. "I restrict myself to 2,000 calories per day." Individuals with anorexia nervosa usually consume significantly fewer calories than recommended daily amounts. A restriction of 2,000 calories per day is within normal dietary guidelines and does not reflect the extreme caloric limitation seen in this disorder.
C. "I have certain foods, like pizza, that cause me a lot of fear." Clients with anorexia nervosa often develop strong food-related anxieties, especially about high-calorie or "forbidden" foods. Fear of specific foods is a hallmark feature of the disorder, making this the expected statement.
D. "I don't bother to track the number of calories I eat in a week." Individuals with anorexia nervosa are typically obsessive about tracking their calorie intake, often meticulously counting every calorie consumed. This level of control is a defining characteristic of the disorder.

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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 a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is C

Explanation

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