A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships.
We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

“I am sorry about the trauma you and your family experienced.”.

“Did this trauma occur when you were a young child?”

“It must be difficult to appear that you are…”

“I understand the impact of historical trauma on your family.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While expressing empathy is important, this response does not demonstrate an understanding of the concept of historical trauma. Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event.

Choice B rationale
This response is not appropriate as it attempts to pinpoint the trauma to a specific time in the client’s life. The client is referring to a historical trauma that affected their ancestors and continues to impact their family.
Choice C rationale
This response is vague and does not address the client’s statement about the impact of historical trauma on their family.
Choice D rationale
This is the correct response. By stating that they understand the impact of historical trauma, the nurse acknowledges the long-term effects of traumatic events that occurred in the past and continue to affect the client’s family.

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Correct Answer is C

Explanation

Choice A rationale
While young adults aged between 18 to 25 can be eligible for Medicaid, age alone is not a determining factor. Eligibility is primarily based on income level, family size, disability, and other factors.
Choice B rationale
Losing a job and previously having health insurance from an employer does not automatically qualify someone for Medicaid. While some individuals may qualify for Medicaid after losing their job, it largely depends on their current income, family size, and state regulations.
Choice C rationale
Medicaid is a joint federal and state program that provides health coverage to people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities. Therefore, a patient whose income is below the poverty line would likely be eligible for Medicaid.

Choice D rationale
Having health insurance but needing a supplemental policy does not necessarily qualify someone for Medicaid. Medicaid is intended to provide health coverage for low-income individuals who meet specific eligibility requirements.

A. Ask both clients to take a time out in their separate rooms. B. Distract the clients by asking them to park. C. Send both clients into seclusion. D. Physically restrain both clients.

Correct Answer is B

Explanation

Choice A rationale
Asking both clients to take a time out in their separate rooms may not be the best first intervention. This approach might not address the root cause of the argument and could potentially escalate the situation if one or both of the residents feel unfairly treated.
Choice B rationale
Distracting the clients by asking them to participate in an activity is the most appropriate first intervention. This approach can help defuse the situation and redirect the residents’ attention away from the argument. It’s a non-confrontational way to de-escalate the situation and can help maintain a peaceful environment in the facility.
Choice C rationale

Sending both clients into seclusion is not an appropriate first intervention. Seclusion should be used as a last resort and only when the residents pose a risk to themselves or others. In this case, the argument does not seem to have escalated to a level that would warrant such a drastic measure.
Choice D rationale
Physically restraining both clients is not an appropriate first intervention. Restraints should only be used as a last resort when there is an immediate risk of harm to the residents or others. In this case, the argument does not seem to have escalated to a level that would warrant physical restraint.

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A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is examining the records of several patients. Which patient should the nurse identify as eligible for Medicaid coverage?

Correct Answer is C

Explanation

A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?

Correct Answer is B

Explanation

A nurse is caring for an adolescent who has been subjected to abuse and neglect since early childhood. This is an example of which type of trauma?

A nurse is educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for an adolescent with an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

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?

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships.
We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?