CNO Competencies
A nurse discusses with the familly what their concerns are regarding the child health and well being. They are a ________
communicator
What does "ACE" stand for
Adverse Childhood Experiences
What act recognizes the duty to report situations where children are abused or neglected?
Child, Youth and Family Services Act, 2017
True or false :
Unaddressed trauma significantly increases the risk of mental and substance use disorders and chronic physical diseases
TRUE
Professional
What relationship was found between exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults
A strong dose-response relationship
What are “reasonable grounds” to suspect child abuse or neglect?
Reasonable grounds” refers to the information that an average person, using normal and honest judgment, would need in order to decide to report
What is trauma informed care?
A program, organization, or system that is trauma-informed realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization
What CNO domain states a nurse "Uses principles of trauma-informed care which places priority on trauma survivors’ safety, choice, and control."
Clinician
Name 2 disease conditions the study found to be increased in those who have adverse experiences as children
Ischemic heart disease, cancer, chronic bronchitis or emphysema, history of hepatitis or jaundice, skeletal fractures, and poor self-rated health
What is the age of the children to whom the “duty to report” applies?
Originally, the duty to report applies to any child who is, or appears to be, under the age of 16 years.
However, on January 1, 2018, Ontario raised the age of protection from 16 to 18.
Name at least 3 of the 6 key principles of trauma informed care
1. Safety 2. Trustworthiness and Transparency 3. Peer Support 4. Collaboration and Mutuality 5. Empowerment, Voice and Choice 6. Cultural, Historical, and Gender Issues
A nurse recognizes removing a child from their home (due to child abuse) is beyond their scope of practice. They involve social work and report their finding to the children's aid society. What competencies are they demonstrating?
Professional
Collaborator
Of the 7 categories of childhood exposures, what was the post prevalent? d
The most prevalent of the 7 categories of childhood exposure was substance abuse in the household
Do professionals and officials have any special responsibilities to report?
Professionals and officials have the same duty as the rest of the public to report their suspicion that a child is, or may be, in need of protection. However, the CYFSA recognizes that people working closely with children have a special awareness of the signs of child abuse and neglect, and a particular responsibility to report their suspicions. Any professional or official who fails to report a suspicion is liable on conviction to a fine of up to $5,000, if they obtained the information in the course of their professional or official duties
What are the 3 “e’s” of trauma?
EVENT(S), EXPERIENCE OF EVENT(S), AND EFFECT
Those who are exposed to childhood trauma have ______ x the life time risk of heart disease and lung cancer
triple
True or false: The coralation between childhood trauma and negative health outcomes is bad personal behaviour.
False:
it has been proven to involve more than that - eg brain development
Also even without "bad behaviours" , there is still an increased risk for developing disease
The brain area that is responsible for fear response is that shown to have measurable differences in MRI scans of those who have had experienced high childhood adversity
The amygdala
What response is over active in those who have experience high amounts of adverse childhood experiences
Fight or flight response
(stress response, HPA axis)