A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences.
Which of the following family characteristics is a protective factor against adverse childhood experiences?

Families that are isolated from other people, such as extended family, friends, and neighbors.

Families where caregivers have college degrees or higher.

Families that include young caregivers or single parents.

Children who don’t feel close to their guardians and don’t feel loved.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Families that are isolated from other people, such as extended family, friends, and neighbors, are not typically considered a protective factor against adverse childhood experiences. Social isolation can actually increase the risk of mental health issues, as it can lead to feelings of loneliness and lack of social support.
Choice B rationale
Families where caregivers have college degrees or higher can often provide a more stable environment, both emotionally and financially. Higher levels of education are often linked to

better understanding of child development and more effective parenting strategies. Additionally, higher education is often associated with higher income, which can reduce stressors related to financial instability.
Choice C rationale
Families that include young caregivers or single parents can face additional stressors, such as financial strain and lack of social support, which can increase the risk of adverse childhood experiences. Therefore, this is not typically considered a protective factor.
Choice D rationale
Children who don’t feel close to their guardians and don’t feel loved are at a higher risk of developing mental health disorders. Feeling unloved and uncared for can lead to feelings of insecurity, low self-esteem, and difficulty forming healthy relationships later in life.

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Correct Answer is B

Explanation

Choice A rationale

Recommending the client obtain a part-time job may not be the most effective intervention for an adolescent experiencing depression due to a recent move. While employment can provide a sense of purpose and routine, it may also add additional stress and responsibilities that could potentially exacerbate the client’s depression.
Choice B rationale
Scheduling an appointment with a school-based counselor is the most appropriate intervention. School-based counselors are trained to provide emotional support and therapeutic interventions to students dealing with various issues, including depression. They can provide a safe space for the client to express their feelings and can help them develop coping strategies to manage their depression.
Choice C rationale
Arranging a visit with a neurologist is not the most appropriate first intervention. While neurologists can provide treatment for neurological conditions, they are not typically the first point of contact for managing depression.
Choice D rationale
Encouraging the client to engage in more physical activity can be beneficial as exercise has been shown to have a positive effect on mood. However, it may not be sufficient as the sole intervention for an adolescent experiencing depression

A. The nurse maintained an upright posture. B. The nurse sat at a slight angle across from the clients. C. The nurse maintained eye contact throughout the interview. D. The nurse leaned away from the client throughout the interview.

Correct Answer is D

Explanation

Choice A rationale
Maintaining an upright posture during a client interview is generally seen as a sign of attentiveness and professionalism. It shows that the nurse is focused on the conversation and respects the client’s concerns.
Choice B rationale
Sitting at a slight angle across from the clients is a part of active listening and is considered a positive nonverbal communication technique. It allows the nurse to maintain eye contact and observe the client’s nonverbal cues.

Choice C rationale
Maintaining eye contact throughout the interview is a positive nonverbal communication technique that shows the nurse is paying attention and is interested in what the client is saying. However, it’s important to note that in some cultures, direct eye contact may be considered disrespectful or intrusive.
Choice D rationale
Leaning away from the client throughout the interview can be perceived as a sign of disinterest or discomfort. It may give the impression that the nurse is not engaged in the conversation or is maintaining a distance from the client. This can hinder the development of a therapeutic nurse-client relationship.

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A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Correct Answer is B

Explanation

A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

Correct Answer is D

Explanation

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A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?

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A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences.
Which of the following family characteristics is a protective factor against adverse childhood experiences?