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","D"]
Explanation
Rationale:
A. Maintaining eye contact is important for effective communication and showing attentiveness.
B. Allowing time for the client to respond is crucial, especially if they are processing information in a second language.
C. Using professional interpreters ensures accurate translation and avoids miscommunication.
D. Nonverbal communication can be helpful in reinforcing understanding and expressing empathy.
E. While family members might be able to provide some help, they are not always ideal as interpreters due to potential biases and confidentiality issues. Professional interpreters are preferred.
Correct Answer is C
Explanation
Rationale:
A. Suggesting the patient read religious texts may provide some comfort but does not address the need for personal and communal spiritual support.
B. Encouraging the patient to focus solely on medical treatment neglects the importance of addressing the patient's emotional and spiritual needs, which are crucial tfor overall well-being.
C. Arranging for a spiritual advisor to visit is the most appropriate action as it directly addresses the patient’s spiritual needs and provides support from someone familiar with their religious practices.
D. Instructing the patient to practice meditation may not align with the patient’s specific religious practices and does not address the need for community-based spiritual support.