NR606 Week 7 Questions With Complete
Solutions
___ in ___ adults have experienced four or more
types of ACEs Correct Answers one in six
_______, ________, _________ _____________ and
______________ are essential to prevent child abuse
and neglect and to assure that all kids reach their
full potential Correct Answers Safe, stable,
nurturing relationships and environments
!!!!!!!!!Warning signs of a pediatric mental health
crisis!!!!!!!! Correct Answers -expressing suicidal
thoughts
-threatening harm to self or others
-engaging in self-harm such as cutting
-displaying severe agitation or aggression
-experiencing hallucinations or delusions
-isolating from family & friends
*If child or those close to them are in immediate
danger of harm, safety is the priority. PMHNP
should instruct parent/caregiver to contact 911 or
go to the nearest emergency room
!!!!!!!!Warning signs for suicide include:!!!!!!!!!
Correct Answers -openly suicidal statements or
comments such as "I wish I was dead," or "I won't
be your problem much longer."
,-changes in eating or sleeping patterns
-frequent or pervasive sadness
-complaints about emotion-related physical
symptoms such as headaches or stomachaches
-worsening school performance
-preoccupation with death & dying
5 strategies to stop ACEs before they start Correct
Answers 1. Strengthening economic supports for
families
2. Changing social norms
3. Quality child care & education early in life
4. Enhancing parenting skills
5. Intervening to lessen harms & prevent future
risk
ACE Categories Correct Answers -Abuse
-Neglect
-Household Instability
-Cultural Challenges
ACE Pyramid Correct Answers -represents the
conceptual framework for the ACE study
-top to bottom the pyramid shows the mechanisms
by which ACEs influence health and well-being
from conception to death
• Early death (TOP)
• Disease, disability, and social problems
• Adoption of health risk behavior
• Social, emotional, and cognitive impairment
, • Disrupted neurodevelopment
• ACEs
• Social conditions / Local context
• Generational embodiment / Historical trauma
(BOTTOM)
ACE Risk Factors: Community Risk Factors Correct
Answers • High rates of violence & crime
• High rates of poverty & limited educational &
economic opportunities
• High unemployment rates
• Easy access to drugs & alcohol
• Few community activities for young people
• Unstable housing & where residents move
frequently
• Food insecurity
ACE Risk Factors: Family Risk Factors Correct
Answers • Caregiving challenges related to
children with disabilities, mental health issues, or
chronic physical illnesses
• limited understanding of children's needs or
development
• Caregivers who were abused or neglected as
children
• Young caregivers or single parents
• Low income or low levels of education
• High levels of parenting stress or economic stress
• Isolation
• High conflict & negative communication styles
Solutions
___ in ___ adults have experienced four or more
types of ACEs Correct Answers one in six
_______, ________, _________ _____________ and
______________ are essential to prevent child abuse
and neglect and to assure that all kids reach their
full potential Correct Answers Safe, stable,
nurturing relationships and environments
!!!!!!!!!Warning signs of a pediatric mental health
crisis!!!!!!!! Correct Answers -expressing suicidal
thoughts
-threatening harm to self or others
-engaging in self-harm such as cutting
-displaying severe agitation or aggression
-experiencing hallucinations or delusions
-isolating from family & friends
*If child or those close to them are in immediate
danger of harm, safety is the priority. PMHNP
should instruct parent/caregiver to contact 911 or
go to the nearest emergency room
!!!!!!!!Warning signs for suicide include:!!!!!!!!!
Correct Answers -openly suicidal statements or
comments such as "I wish I was dead," or "I won't
be your problem much longer."
,-changes in eating or sleeping patterns
-frequent or pervasive sadness
-complaints about emotion-related physical
symptoms such as headaches or stomachaches
-worsening school performance
-preoccupation with death & dying
5 strategies to stop ACEs before they start Correct
Answers 1. Strengthening economic supports for
families
2. Changing social norms
3. Quality child care & education early in life
4. Enhancing parenting skills
5. Intervening to lessen harms & prevent future
risk
ACE Categories Correct Answers -Abuse
-Neglect
-Household Instability
-Cultural Challenges
ACE Pyramid Correct Answers -represents the
conceptual framework for the ACE study
-top to bottom the pyramid shows the mechanisms
by which ACEs influence health and well-being
from conception to death
• Early death (TOP)
• Disease, disability, and social problems
• Adoption of health risk behavior
• Social, emotional, and cognitive impairment
, • Disrupted neurodevelopment
• ACEs
• Social conditions / Local context
• Generational embodiment / Historical trauma
(BOTTOM)
ACE Risk Factors: Community Risk Factors Correct
Answers • High rates of violence & crime
• High rates of poverty & limited educational &
economic opportunities
• High unemployment rates
• Easy access to drugs & alcohol
• Few community activities for young people
• Unstable housing & where residents move
frequently
• Food insecurity
ACE Risk Factors: Family Risk Factors Correct
Answers • Caregiving challenges related to
children with disabilities, mental health issues, or
chronic physical illnesses
• limited understanding of children's needs or
development
• Caregivers who were abused or neglected as
children
• Young caregivers or single parents
• Low income or low levels of education
• High levels of parenting stress or economic stress
• Isolation
• High conflict & negative communication styles
