A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
Families where caregivers have college degrees or higher
Children who don't feel close to their guardians and don't feel like they can talk to them about their feelings
Families that are isolated from other people, such extended family, friends, and neighbors
Families that include young caregivers or single parents
The Correct Answer is A
A. Families where caregivers have higher levels of education, such as college degrees or higher, tend to have more access to resources, support networks, and knowledge about child development and parenting practices. This can contribute to a more stable and nurturing environment for children, reducing the likelihood of adverse childhood experiences.
B. This option describes a lack of emotional support and connection within the family, which is considered a risk factor rather than a protective factor for adverse childhood experiences.
C. Social isolation can contribute to increased stress and lack of support for both children and caregivers, which may exacerbate the impact of adverse childhood experiences.
D. While single parenthood or having young caregivers may present additional challenges, it is not inherently a risk factor for adverse childhood experiences.
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Correct Answer is C
Explanation
C. Reinforcing teaching with vulnerable clients about strategies to prevent illness and promote health is the most immediate and direct action the nurse can take. Education empowers
individuals to make informed decisions about their health and well-being, potentially preventing illness and reducing the need for healthcare services.
A. This action focuses on improving access to care but may not directly address the immediate health needs of vulnerable clients.
B. Protecting the rights and well-being of clients without housing is important, but it may take time to implement legislative changes and see the effects.
D. While advocating for policy change and advising elected officials on the needs of vulnerable populations is important for systemic change, it may not directly address the immediate health needs of vulnerable clients
Correct Answer is D
Explanation
D. Hyperactivity is one of the hallmark symptoms of ADHD, along with impulsivity and inattention. Therefore, the nurse should expect to observe hyperactivity in a client diagnosed with ADHD. Hyperactivity may manifest as excessive fidgeting, restlessness, difficulty remaining seated, or an inability to engage in quiet activities.
A. Hypoactivity refers to reduced levels of physical activity or diminished movement. However, ADHD is typically associated with hyperactivity rather than hypoactivity.
B. Hypohidrosis refers to decreased sweating. While sweating is not a primary symptom of ADHD, it is unrelated to the core features of the disorder, such as inattention and hyperactivity. C While sweating can occur in individuals with ADHD, it is not a defining characteristic of the disorder.
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