NR 606 week 7 Exam Questions And
Answers 2025 Update.
Know ACES pyramid - Answer✔From top to bottom the pyramid shows the mechanisms by
which ACEs influence health and well-being from conception to death.
Generational embodiment / Historical trauma
Social conditions / Local context
ACEs
Disrupted neurodevelopment
Social, emotional, and cognitive impairment
Adoption of health risk behavior
Disease, disability, and social problems
Early death
ACEs indications, scoring and content - Answer✔Children and youth who have high exposure to
adversity as evidenced by the ACE questionnaire score must receive support to prevent lifelong
consequences. A high ACE score does not guarantee negative outcomes in life. Providers can
work with parents and children to teach stress-reduction techniques to enhance positive coping
skills.
Parent training can help caregivers learn healthy, alternative ways to manage child behaviors.
Early childhood programs can help provide protective factors to support positive development
in young children. Building resilience by enhancing the child's biological and developmental
characteristics and external protective factors from family, community, and support systems
can help individuals who have sustained significant adversity as children live healthy lives.
These factors can help offset the neurobiological changes associated with trauma, protecting
the developing brain, immune system, and body from negative effects.
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ACEs encompass a wide range of stressful or traumatic experiences that include sexual or
domestic violence, physical or emotional abuse, or neglect. Also included are aspects of the
child or youth's home environment that cause them to feel unsafe or under constant threat
such as growing up in a family with substance misuse or mental health problems.
Other ACEs include situations that create instability in the household due to death, divorce,
separation, or incarceration of family members. These traumatic events create increased or
prolonged states of stress or a toxic state of stress, which adversely affects the structure and
functioning of the developing brain (CDC, n.d.b.).
Family Risk Factors caregiving challenges - Answer✔Caregiving challenges related to children
with disabilities, mental health issues, or chronic physical illnesses
A 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 and negative communication styles
Attitudes accepting of or justifying violence or aggression
Factors That Promote Resilience - Answer✔Close relationships with skilled caregivers or other
caring adults
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