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A nurse is developing education for a parenting class about adverse childhood
events (ACEs). Which of the following statements should the nurse include in the
education?
a. "Prior to age 1, children have natural protection from stressors and are unlikely
to experience physiological changes from stress."
b. "Children who are exposed to repeated adverse childhood events are at an
increased risk for developing physical and mental health issues."
c. "Experiences of trauma or adverse childhood events result in permanent changes
to the brain that cannot be altered."
d. "Children's brains are fully developed by the age of 10, and this provides
psychological protection from ACEs that occur prior to that age." - ANSWER -b.
"Children who are exposed to repeated adverse childhood events are at an
increased risk for developing physical and mental health issues."
A nurse is providing care for a client who has PTSD. The client states "I always
have to watch my back!" Which of the following manifestations of PTSD is the
client experiencing?
a. Anosognosia
b. Hypervigilance
c. Anhedonia
d. Dissociative amnesia - ANSWER -b. Hypervigilance
A nurse is assigned to triage clients following an explosion at an oil refinery.
Which of the following symptoms are consistent with a trauma response involving
the SNS? SATA
a. Increased heart rate
b. Shallow breathing
c. Muscle tension
d. Immobility
e. Anxiety
, f. Fatigue - ANSWER -a, b, c, e
A nurse is caring for a client who was diagnosed with adjustment disorder after
losing their job 2 months ago. For which of the following manifestations should
the nurse monitor the client?
a. Persistent avoidance
b. Psychosis
c. Dissociative amnesia
d. Suicidal ideation - ANSWER -d. Suicidal ideation
A nurse is caring for a client who was brought to the ER following displacement
from their home due to a flood. When assessing the client, which of the following
clinical manifestations would the nurse anticipate are related to the experience of
trauma? SATA
a. Anxiety
b. Sleep disturbance
c. Anger
d. Depression
e. Hallucinations
f. Elevated mood - ANSWER -a, b, c, d
A nurse is providing parenting education to a group of new parents at the area
community center. Which of the following types of trauma prevention is the nurse
providing?
a. Secondary prevention
b. Primary prevention
c. Primordial prevention
d. Tertiary prevention - ANSWER -b. Primary prevention
A nurse has attended an in-service regarding nursing care for clients who have
experienced trauma. Which of the following statements by the nurse represent an
understanding of trauma?
a. "Trauma is usually a series of events rather than a one-time occurrence."
b. "Trauma is a specific term used to describe visible wounds that a client has
experienced."