Correct Answer: A

Rationale: The correct answer is A: Families where caregivers have college degrees or higher. This is a protective factor for adverse childhood experiences because parents with higher education levels are more likely to have better coping skills, resources, and access to support services. They are also more likely to provide a stable and nurturing environment for their children. In contrast, choices B, C, and D are incorrect.
Choice B suggests a lack of emotional support and communication within the family, which can increase the risk of adverse childhood experiences.
Choice C implies potential stressors associated with young caregivers or single parents.
Choice D indicates social isolation, which can lead to a lack of support and resources for the child. Overall, the education level of caregivers plays a significant role in mitigating the impact of adverse childhood experiences.

Correct Answer: B

Rationale: The correct answer is B: Tardive dyskinesia. The Abnormal Involuntary Movement Scale (AIMS) assessment is used to evaluate abnormal involuntary movements, such as repetitive, involuntary movements of the face, limbs, and trunk. Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, characterized by these involuntary movements. AIMS helps monitor and assess the severity of tardive dyskinesia in patients taking antipsychotic medications.

Choices A, C, and D are incorrect because they do not specifically relate to the purpose of the AIMS assessment. Opiate withdrawal (
A) is assessed using different tools, alcohol withdrawal (
C) is evaluated using different criteria, and lithium toxicity (
D) is identified through blood tests and clinical symptoms.

Correct Answer: C

Rationale: The correct answer is C: The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Clozapine is a second-generation antipsychotic used for treatment-resistant schizophrenia. It is crucial for the nurse to discuss the importance of continued medication adherence even after acute symptoms improve to prevent relapse. Option A is incorrect because tyramine interactions are more relevant for MAOIs, not clozapine. Option B is incorrect as clozapine does not typically require fluid restriction. Option D is incorrect as routine red blood cell monitoring is essential for detecting clozapine-induced agranulocytosis, but it is not the most important topic to discuss with the client at this time.

Correct Answer: B

Rationale: The correct answer is B. A child with a parent in prison is considered to have experienced an adverse childhood experience (ACE) due to the significant impact of parental incarceration on a child's well-being, emotional health, and development. This situation can lead to feelings of abandonment, shame, stigma, and disruption in family dynamics.

Choices A, C, and D do not directly indicate exposure to ACEs as they involve normal childhood experiences or academic challenges that are not inherently traumatic.
Therefore, option B is the most appropriate response for identifying a child who has experienced an ACE.

Correct Answer: A

Rationale: The correct answer is A because stress is a common cause of depressed mood. Stress can lead to feelings of sadness and hopelessness. High blood pressure (
B), elevated heart rate (
C), and renal dysfunction (
D) are not typically direct causes of depressed mood. High blood pressure and elevated heart rate are more closely associated with physical health, while renal dysfunction is related to kidney function, not mental health.
Therefore, A is the best choice as it aligns with common triggers of depression.