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 C

Explanation

Choice A rationale
Clean drinking water is indeed crucial for preventing many diseases, especially those transmitted through the fecal-oral route or waterborne diseases such as cholera, typhoid, and hepatitis A1. However, it is not specifically targeted at diseases that are transmitted directly from person to person. Directly transmitted diseases are often spread through direct contact, such as person-to-person contact or droplet spread. Therefore, while clean drinking water is an essential aspect of public health, it is not the most effective method for preventing diseases that are transmitted directly.
Choice B rationale
Pest control is an important measure for preventing diseases transmitted by vectors, such as mosquitoes, ticks, and fleas. Diseases like malaria, dengue, Lyme disease, and plague are examples of vector-borne diseases. However, these diseases are not considered directly transmitted diseases. Direct transmission occurs when an infectious agent is transferred from a reservoir to a susceptible host by direct contact or droplet spread. Therefore, pest control, while important, is not the primary prevention method for diseases that are transmitted directly.
Choice C rationale

Isolation is one of the most effective methods for preventing the spread of directly transmitted diseases. When a person is isolated, they are separated from others to prevent the spread of communicable diseases. Isolation is used in healthcare settings to prevent the spread of infectious diseases that can be transmitted directly from person to person, such as tuberculosis, influenza, and COVID-191. Therefore, isolation is a key prevention method for diseases that are transmitted directly.
Choice D rationale
Proper sanitation, like clean drinking water, is crucial for preventing many diseases, particularly those transmitted through the fecal-oral route. Proper sanitation involves safely managing human waste and maintaining hygienic conditions through services such as garbage collection and wastewater disposal. While it is an essential aspect of public health, proper sanitation is not the most effective method for preventing diseases that are transmitted directly from person to person.

A. A 6-year-old who says, “My mom is mean because I can’t have a dog.”. B. A 12-year-old who failed an algebra test. C. A 13-year-old who forgot their lunch at home. D. A 7-year-old who has a parent who is in prison.

Correct Answer is D

Explanation

Choice A rationale
A child expressing that their parent is mean because they can’t have a dog does not constitute an adverse childhood experience (ACE). This is a common situation where a child might be upset due to not getting what they want, but it does not indicate any form of abuse, neglect, or household dysfunction that are typically associated with ACEs.
Choice B rationale
Failing an algebra test is a part of the academic challenges that students face and does not constitute an ACE. While it can be a source of stress for the child, it is not an indicator of abuse, neglect, or household dysfunction.

Choice C rationale
Forgetting lunch at home is a common occurrence among children and does not indicate an ACE. It could be a simple oversight or a result of a chaotic morning routine. It does not suggest abuse, neglect, or household dysfunction.
Choice D rationale
Having a parent who is in prison is considered an ACE. This situation falls under the category of household dysfunction. The incarceration of a parent can lead to a loss of financial stability, emotional support, and the social stigma associated with it can lead to feelings of shame and isolation for the child.

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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?

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?