A nurse educator is presenting about the long-term effects of witnessing intimate partner violence (IPV) on children. The nurse knows that the material was understood if the staff accurately identify which of the following as adverse childhood events (ACES) impacting children? Select all that apply
Living in a household with substance abuse and domestic violence
Discipline using "time out".
Childhood abuse
A child behind in reading skills
Neglect
Correct Answer : A,C,E
Rationale:
A. Living in a household with substance abuse and domestic violence is an ACE that can significantly impact a child's development and mental health.
B. Discipline using "time out" is generally considered a less harmful form of discipline and not classified as an ACE.
C. Childhood abuse is a significant ACE that has long-term effects on physical and mental health.
D. Being behind in reading skills is an educational concern but not classified as an ACE.
E. Neglect is an ACE that can severely affect a child's development and well-being.
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Correct Answer is D
Explanation
Rationale:
A. Physical hazards involve physical injuries or environmental factors, which are not the primary focus here.
B. Biological hazards involve exposure to infectious agents, which is a part of the context but not the primary stressor described.
C. Chemical hazards are related to exposure to harmful chemicals, not directly described in the context of stressors mentioned.
D. Psychosocial hazards are correct as they encompass stressors like work overload, time pressure, and emotional strain that affect mental health and job satisfaction.
Correct Answer is ["A","B","D","E"]
Explanation
Rationale:
A. A change in employment status can significantly impact family roles, finances, and emotional dynamics.
B. Coping with a chronic medical condition affects family routines, emotional health, and caregiving responsibilities.
C. Daily activities of living typically do not cause significant alterations in family dynamics unless they are part of a larger issue.
D. The addition of a new family member can alter family roles, dynamics, and relationships significantly.
E. A crisis affecting a family member can dramatically change family dynamics due to emotional stress and shifts in responsibilities.