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. Asking about family reactions may not address the immediate safety needs or emotional support required.
B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.
C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.
D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.
Correct Answer is C
Explanation
Rationale:
A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.
B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.
C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.
D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.