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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While a family history of anxiety disorders can increase the risk of developing such disorders, positive childhood experiences can serve as protective factors, reducing the likelihood of developing an anxiety disorder.
Choice B rationale
Although a family history of cancer can cause stress and anxiety, especially if the client is recently unemployed and potentially struggling with financial instability, this does not necessarily mean they are most likely to develop an anxiety disorder. Unemployment can indeed be a source of stress, but it is not a direct cause of anxiety disorders.
Choice C rationale
Not graduating from high school or not completing the GED test can lead to lower socioeconomic status and fewer job opportunities, which can be stressful. However, these factors alone do not make someone most likely to develop an anxiety disorder.
Choice D rationale
A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders is most likely to develop an anxiety disorder. Adverse childhood experiences, such as abuse and neglect, are significant risk factors for the development of anxiety disorders later in life. Furthermore, having parents with a history of anxiety disorders suggests a possible genetic predisposition.
Correct Answer is C
Explanation
Choice A rationale
Being credible, collaborative, and consistent are important qualities for a nurse, but they do not specifically address the ethical and empathetic aspects of nursing care during a pandemic.
Choice B rationale
Being transparent and honest are important, but politeness does not necessarily equate to empathy. Furthermore, this choice does not address the collaborative aspect of nursing care, which is crucial during a pandemic.
Choice C rationale
Being transparent, collaborative, and consistent are all important behaviors for providing ethical and empathetic nursing care during a pandemic. Transparency ensures that patients and their families are fully informed about their care, collaboration ensures that all members of the healthcare team are working together for the benefit of the patient, and consistency ensures that care is reliable and dependable.
Choice D rationale
While honesty and caring are important, consistency alone does not necessarily equate to ethical and empathetic care. This choice does not address the importance of transparency and collaboration in nursing care during a pandemic.
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