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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

Question Solution

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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A. Wait for the client to mention any concerns about domestic violence during their treatment. B. Document the injuries and refer the client to a social worker without discussing the possibility of domestic violence. C. Ask the client directly if they are experiencing domestic violence in a private and supportive manner. D. Inform the client that domestic violence is common and provide general information on available resources.

Correct Answer is C

Explanation

Rationale:

A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.

B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.

C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.

D. Providing general information may not be as effective as directly addressing the issue with the client.

A. "Shall I notify the police that you would like to press charges?" B. "Have you ever been physically or emotionally hurt by someone?" C. "Have you been with your partner long?" D. "Are you being abused by your partner?"

Correct Answer is D

Explanation

Rationale:

A. Asking if the client wants to press charges might be premature and could be intimidating, potentially making the client uncomfortable.

B. This question is relevant but may not directly address the immediate concern of the current situation.

C. While knowing the length of the relationship might provide some context, it does not directly address the potential issue of abuse.

D. Asking directly if the client is being abused is crucial for identifying potential abuse, especially when the partner is not present. This question provides an opportunity for the client to disclose any abuse they may be experiencing in a safer environment.

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Correct Answer is C

Explanation

Correct Answer is D

Explanation

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Which nursing intervention is most likely to help a client in the Emergency Department with extensive soft tissue injuries disclose an incident of domestic violence?

Correct Answer is C

Explanation

The nurse is interviewing a client who presents with a dislocated shoulder who appears anxious and relies on her partner to answer questions. While the partner is out of the room, which question is most important for the nurse to ask?

Correct Answer is D

Explanation

A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?

A foodborne outbreak of salmonellosis has twice occurred at a day-treatment program. The environmental health worker has requested that an advanced public health nurse be included in the next inspection of the program's kitchen. During the visit, what is the nurse's primary function?

A nurse is assessing a 15-year-old teenager who has a history of abuse and is now exhibiting aggressive behavior. Which of the following interventions would be most appropriate to address the teenager's aggression?

Which of the following federal agencies sets exposure standards and is responsible for enforcement of safety and health legislation?

The nurse may encounter victims of abuse when working in the emergency department. Which of the following groups require a mandatory report of abuse to the appropriate agency? Select all that apply

A nurse is assessing a client who presents with injuries and signs that may suggest intimate partner violence. Which of the following statements by the client would most likely indicate the need for further assessment and intervention?

Why are nurses so important in the fight against trafficking? (Select all that apply)

The nurse is working in a community-based facility that provides healthcare to a culturally diverse population. Which of the following statements about culture should the nurse recognize as being significant in determining interactions with clients?

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