Which of the following is an example of an adverse childhood experience (ACE)?
Not being chosen for a sports team
Experiencing physical abuse from a family member
Being teased by classmates
Getting a low grade on a test
The Correct Answer is B
A. Not being chosen for a sports team: While disappointing, this is not considered an ACE because it does not involve abuse, neglect, or household dysfunction.
B. Experiencing physical abuse from a family member: Physical abuse is a recognized ACE, as it can lead to long-term psychological and physical health consequences.
C. Being teased by classmates : Bullying is harmful but is not classified as an ACE unless it involves severe abuse or trauma within the home.
D. Getting a low grade on a test: Poor academic performance is not considered an ACE unless it results from neglect, abuse, or extreme household dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Allow the client's family to attend all group therapies with the client." While family involvement can be beneficial, a client’s autonomy and confidentiality must be respected. Some clients may not feel comfortable sharing in the presence of family members.
B. "Listen attentively to a client and summarize their comments." Active listening and summarization demonstrate empathy and understanding, reinforcing the therapeutic relationship. This technique also helps ensure that the nurse accurately understands the client's concerns.
C. "Asking questions easily answered with one-word responses is important with mental health clients." Closed-ended questions limit the client’s ability to express emotions and thoughts, which can hinder the therapeutic process. Open-ended questions encourage meaningful discussion.
D. "Avoid asking clients direct questions regarding suicidal behaviors or thoughts." It is essential to directly ask about suicidal thoughts in a nonjudgmental manner. Avoiding these questions can lead to missed warning signs and inadequate intervention.
Correct Answer is C
Explanation
A. "Do you need any more resources or information?" This question focuses on resource provision rather than emotional clarification. While important, it does not specifically invite the client to explore their feelings.
B. "You feel like you have the support needed to be successful." This is a statement, not a question, and may lead the client to agree rather than express their true emotions. A better approach would involve open-ended questioning.
C. "Tell me what kind of coping skills you have." This open-ended question encourages the client to reflect on their coping mechanisms and emotional responses, facilitating deeper discussion and emotional clarification.
D. "Do you understand your next step in treatment?" This focuses on treatment adherence rather than the client’s emotions. While important for education, it does not directly encourage emotional exploration.
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