A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?
A 6-year-old who says, “My mom is mean because I can’t have a dog.”.
A 12-year-old who failed an algebra test.
A 13-year-old who forgot their lunch at home.
A 7-year-old who has a parent who is in prison.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Limited access to primary care providers is a significant disadvantage related to health insurance for clients who live in rural communities. Rural areas often have fewer healthcare providers, which can make it difficult for residents to receive the care they need. This can lead to delays in care, unmet health needs, and worsening of existing health conditions.
Choice B rationale
While the availability of managed care insurance can vary by location, this is not a disadvantage specific to rural communities. Both urban and rural areas can have limited availability of certain types of health insurance.
Choice C rationale
Financial risk that is typical of underinsured clients is not specific to rural communities. Both urban and rural residents can be underinsured, which can lead to significant out-of-pocket costs and financial strain.
Choice D rationale
Lack of government-provided health insurance is not a disadvantage specific to rural communities. Government-provided health insurance programs, such as Medicare and Medicaid, are available to eligible individuals regardless of whether they live in an urban or rural area.
Correct Answer is D
Explanation
Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.
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