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?

Chronic trauma

Vicarious trauma

Acute trauma

Historical trauma

Answer and Explanation

The Correct Answer is A

Choice A rationale
Chronic trauma refers to repeated exposure to traumatic events over a long period. Abuse and neglect since early childhood, as in the case of the adolescent in the question, is a clear example of chronic trauma.
Choice B rationale
Vicarious trauma occurs when an individual becomes traumatized not by directly experiencing a traumatic event, but by exposure to graphic or traumatic material as part of their work. This is not the case for the adolescent in the question.
Choice C rationale
Acute trauma results from a single, unexpected, and stressful event. This does not apply to the adolescent in the question, who has been subjected to abuse and neglect since early childhood.
Choice D rationale

Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event. This does not apply to the adolescent in the question.

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Correct Answer is A

Explanation

Choice A rationale

Having a physical disability can be considered an ACE as it can lead to increased stress, potential for bullying, and other negative experiences. Children with physical disabilities may face unique challenges that can contribute to the development of anxiety disorders.
Choice B rationale
Performing well in school is generally considered a positive experience and is not an ACE. Academic success can contribute to a child’s self-esteem and sense of accomplishment.
Choice C rationale
Having a family with a strong social support system is a protective factor against the development of anxiety disorders and is not considered an ACE. A strong support system can provide a child with resources, emotional support, and a sense of security.
Choice D rationale
Having caregivers who have steady employment is not considered an ACE. Steady employment can provide financial stability and reduce stress in the household, which can be protective against the development of anxiety disorders.

A. “No matter how much I try, I can’t forget the night they died. I wonder if I ever will.”. B. “Our time together was so short. C. I just wish I had shown them how much I appreciated them.”. D. “I will take the kids to the ocean.

Correct Answer is C

Explanation

Choice A rationale
This statement indicates the patient is still struggling with the loss and may not be meeting the planned outcomes of treatment.
Choice B rationale
This statement indicates regret and longing, suggesting the patient may still be in the grieving process.
Choice C rationale

This statement indicates the patient is ready to make new memories and move forward, suggesting they are meeting the planned outcomes of treatment.
Choice D rationale
While this statement shows understanding, it also indicates the patient is still deeply missing their partner, suggesting they may still be in the grieving process.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for a patient who has returned from a bereavement support group. Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?

Correct Answer is C

Explanation

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 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?

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 educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?

A nurse is caring for a patient who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

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A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

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?