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","C","E"]
Explanation
Rationale:
A. Religious practices can significantly influence health behaviors, such as dietary restrictions or healthcare practices.
B. Folk remedies are cultural traditions that may affect how individuals approach health and treatment options.
C. Diet is often influenced by cultural beliefs and practices, impacting overall health and nutritional choices.
D. Educational level is more related to socioeconomic status and access to resources than directly to cultural influence.
E. Role in the family can impact health behaviors and access to healthcare due to culturally specific roles and expectations within the family structure.
Correct Answer is A
Explanation
Rationale:
A. An expression of anger is appropriate because the statement reflects feelings of unfairness and blaming the deceased for the situation, which is characteristic of anger in the grieving process.
B. A plea for help is not as evident in the statement, which focuses more on the unfairness of the situation rather than directly seeking assistance.
C. Fear of making decisions is not directly related to the emotional expression in this context.
D. An explosive episode implies a sudden and intense reaction, but the statement is more reflective of anger and grief rather than an uncontrolled outburst.