Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACES). Which of the following clients is considered to have experienced an ACE?.
A. A 6-year-old who says, "My mom is mean because I can't have a dog.”.
A rationale: A child’s perception of their parent being mean because they can’t have a dog does not qualify as an adverse childhood experience (ACE). ACEs are traumatic events that can have lasting, negative effects on health and well-being.
B. A 7-year-old who has a parent who is in prison.
B rationale: Having a parent in prison is considered an ACE. This situation can cause significant stress and instability in a child’s life, potentially leading to long-term health and social issues.
C. A 12-year-old who failed an algebra test.
C rationale: Failing a test, while potentially stressful, is not considered an ACE. It’s a common part of academic life and does not typically result in long-term trauma.
D. A 13-year-old who forgot their lunch at home.
D rationale: Forgetting lunch at home is not considered an ACE. While it may be an inconvenience, it does not constitute a traumatic event.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
A child’s perception of their parent being mean because they can’t have a dog does not qualify as an adverse childhood experience (ACE). ACEs are traumatic events that can have lasting, negative effects on health and well-being.
Choice B rationale:
Having a parent in prison is considered an ACE. This situation can cause significant stress and instability in a child’s life, potentially leading to long-term health and social issues.
Choice C rationale:
Failing a test, while potentially stressful, is not considered an ACE. It’s a common part of academic life and does not typically result in long-term trauma.
Choice D rationale:
Forgetting lunch at home is not considered an ACE. While it may be an inconvenience, it does not constitute a traumatic event.
Similar Questions
A nurse in an outpatient facility is teaching a client about the development of mental illness.
Which of the following statements by the nurse describes the role of a vulnerability gene?
A. "It is a gene variant that increases the risk for the development of a specific mental illness.”.
A rationale: A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
B. "It is a gene variant that is responsible for the development of a specific mental illness.”.
B rationale: A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.
C. "It is a gene variant that is responsible for an individual's resilience to stress.”.
C rationale: A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.
D. "It is a gene variant that determines an individual's likelihood of recovering from mental illness.”.
D rationale: A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.
Full Explanation
Choice A rationale:
A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
Choice B rationale:
A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.
Choice C rationale:
A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.
Choice D rationale:
A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.
A nurse is providing education to a group of staff members about schizophrenia.
Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?.
A. School-age
A rationale: Schizophrenia is typically not diagnosed in school-age children. Symptoms may begin to appear in late adolescence, but diagnosis usually occurs in adulthood.
B. Preschooler.
B rationale: Schizophrenia is not typically diagnosed in preschoolers. Symptoms of schizophrenia are rarely seen in children this young.
C. Young adulthood.
C rationale: Schizophrenia is most commonly diagnosed in young adulthood. This is when symptoms such as hallucinations, delusions, and disorganized thinking typically become apparent.
D. Older adulthood.
D rationale: While schizophrenia can be diagnosed in older adulthood, it is less common. Most individuals with schizophrenia are diagnosed earlier in life.
Full Explanation
Choice A rationale:
Schizophrenia is typically not diagnosed in school-age children. Symptoms may begin to appear in late adolescence, but diagnosis usually occurs in adulthood.
Choice B rationale:
Schizophrenia is not typically diagnosed in preschoolers. Symptoms of schizophrenia are rarely seen in children this young.
Choice C rationale:
Schizophrenia is most commonly diagnosed in young adulthood. This is when symptoms such as hallucinations, delusions, and disorganized thinking typically become apparent.
Choice D rationale:
While schizophrenia can be diagnosed in older adulthood, it is less common. Most individuals with schizophrenia are diagnosed earlier in life.
A nurse at a primary care clinic is assessing a client for manifestations of depression.
Which of the following client statements should the nurse identify as being consistent with depression?.
A. "I can't sit still. I feel like I need to be doing things around the house.”.
A rationale: This statement indicates restlessness, which is not typically associated with depression.
B. "I can't get my mind to stop racing at night.
B rationale: This statement indicates insomnia, which is a common symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.”.
C rationale: High blood pressure is not a symptom of depression.
D. "Lately, I feel like I am more alert than usual and can focus better.”.
D rationale: Increased alertness and focus are not typical symptoms of depression.
Full Explanation
Choice A rationale:
This statement indicates restlessness, which is not typically associated with depression.
Choice B rationale:
This statement indicates insomnia, which is a common symptom of depression.
Choice C rationale:
High blood pressure is not a symptom of depression.
Choice D rationale:
Increased alertness and focus are not typical symptoms of depression.