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 ["A","B","D"]
Explanation
Rationale:
A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.
B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.
C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.
D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.
E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.
Correct Answer is B
Explanation
Rationale:
A. Financial constraints are a significant issue but may not be the primary barrier compared to systemic issues.
B. The lack of standardized protocols and resources can lead to significant gaps in care and support for trafficking victims, making this a critical issue for effective intervention.
C. While training costs are a concern, they are part of a broader issue of inadequate protocols and resources.
D. Beliefs about trafficking being only a foreign issue contribute to underreporting but do not directly address the operational challenges faced in victim support.