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 B
Explanation
Rationale:
A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.
B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.
C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.
D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Telling the client she should leave is not supportive and may not be appropriate; decisions about leaving should be made by the client.
B. Helping the client get her partner into a treatment program is not within the nurse's immediate role and does not address the client’s immediate safety needs.
C. Helping the client to develop a safety plan and providing emergency contact information is crucial for the client’s immediate safety and is an appropriate intervention.
D. Assisting the client to explore resources such as shelters and legal protection supports her in making informed decisions and accessing necessary help.
E. Communicating acceptance of the client's decision and avoiding blame helps build trust and ensures the client feels supported in a non-judgmental environment.