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 C
Explanation
Rationale:
A. The Domestic Violence Screening Tool is used to screen for domestic violence but may not be as specifically validated for assessing immediate safety and lethality.
B. The Intimate Partner Assessment is a general tool for assessing relationships but lacks specific validation for safety concerns in abuse cases.
C. The Lethality Tool is specifically designed to assess the risk of harm or death in situations of intimate partner violence. It is widely validated and focuses on assessing immediate safety and risk.
D. The Mini Mental Status Exam is used to assess cognitive function and mental status, not specifically for abuse or safety assessment.
Correct Answer is ["A","B"]
Explanation
Rationale:
A. Individuals often belong to multiple cultural groups simultaneously, which can influence their behaviors and perspectives in diverse ways.
B. Culture indeed provides guidelines for acceptable behavior within a specific group, shaping norms and practices.
C. Cultural diversity encompasses more than just race and culture; it includes various aspects such as ethnicity, religion, and social background.
D. Cultural diversity impacts health and illness, as different cultural beliefs can influence health practices and perceptions.
E. Cultural practices can change over time due to various factors such as globalization and generational shifts, rather than remaining constant.