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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Using EPA registered insect repellants is a form of primary prevention, as it aims to prevent tick bites, which are the primary mode of transmission for Lyme disease.
Choice B rationale
Checking your clothing and body for ticks after being outdoors is a form of secondary prevention. If a tick is found and removed before it has had a chance to transmit the bacteria that cause Lyme disease, this can prevent the disease from occurring.
Choice C rationale
Wearing long-sleeved shirts and pants while outdoors is another form of primary prevention, as it can help prevent tick bites.
Choice D rationale
Notifying your health care provider if you notice a rash (especially a bull’s-eye rash, which is a common early symptom of Lyme disease) is a form of tertiary prevention, as it involves managing the symptoms of an existing disease.

A. Agoraphobia B. Generalized anxiety disorder C. Selective mutism D. Separation anxiety disorder

Correct Answer is C

Explanation

Choice A rationale
Agoraphobia is characterized by a fear of being in situations where escape might be difficult or embarrassing, or help might not be available in the event of panic symptoms. This does not align with the child’s symptoms of not being able to speak in class or other social situations.
Choice B rationale
Generalized anxiety disorder is characterized by excessive, uncontrollable worry about a variety of topics and is not specific to social situations. The child’s symptoms are more specific to social situations, which does not align with generalized anxiety disorder.

Choice C rationale
Selective mutism is an anxiety disorder characterized by a consistent failure to speak in specific social situations in which there is an expectation for speaking, despite speaking in other situations. This aligns with the child’s symptoms of not being able to speak during class and other social situations.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached. The child’s symptoms do not indicate a fear of separation, but rather a fear of speaking in social situations.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

Correct Answer is B

Explanation

A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Correct Answer is C

Explanation

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?

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