Behavioral/Mental Health Conditions

Question 1

ACES

Answer 1

Adverse Childhood Experiences

Question 2

Result of ACES

Answer 2

-alcohol abuse
-depression
-suicide attempts
-ischemic heart disease
-early initiation of smoking
-early sexual activity
-teen pregnancy
-poor academic performance

Question 3

Trauma Informed Care

Answer 3

Emphasizes physical, psychological, and emotional safety to support the survivor’s sense of control and empowerment
-safety
-peer support
-voice and choice
-trustworthiness/transparency
-collaboration and mutuality
-empowerment
-cultural, historical, and gender issues

Question 4

Violence by Youth

Answer 4

-fighting
-gang and youth hate groups
-bullying
-family violence
-non-suicidal intentional self-injury
-sexual violence
-violence associated with vandalism, stealing, or illegal drugs

Question 5

What are the child risk factors for child abuse?

Answer 5

• Age <4y
  -social isolation
  -infants/young children: risk for physical abuse
  -school age/adolescents: emotional, sexual abuse

Question 6

When should there be a high suspicion for abuse?

Answer 6

-an unexpected delay for seeking help
-old, unexplained fractures on x-ray
-injury not matching history/accident
-burns on buttocks
-burns on both lower legs
-cigarette burns

Question 7

Signs of human trafficking

Answer 7

-may be branded/tattooed
-wearing expensive clothing
-have companion speaking on their behalf
-may have frequent STIs

Question 8

Managing a sex trafficking victim

Answer 8

-separate victim from any other person
-provide support and resources
-coach on hotline number
-have policies in place for team roles and procedures
-minor: follow laws for child abuse
-adult: reporting to police is not standard

Question 9

What to assess for patients with anorexia?

Answer 9

-Electrolytes, especially potassium
-cardiac status, especially long Q-T
-signs of malnutrition

Question 10

What to assess for patients with bulimia?

Answer 10

-history of laxatives, diet pills, enemas
-metabolic alkalosis from vomiting
-signs of induced vomiting: tooth decay, irritated knuckles