00:01
The school nurse identifies
a school-age client
who is experiencing adverse
childhood events in the home.
00:09
After an extensive assessment
of the client's home,
which situation does
the nurse identify
as an associated protective factor?
Whoo. Okay, lots of words here.
So what's our strategy?
One sentence at a time.
00:24
So let's dig in.
Deal with the first sentence.
00:27
The school nurse, this tells
me what type of nurse I am,
identifies a school-aged client
that tells me,
"I have a
six to 12 year old ish child,"
who was experiencing
an adverse childhood event.
00:43
Okay, so things are not
going well in the home.
00:46
This is something that is
adverse, right?
Okay, so, school nurse,
school-aged kid
having an adverse childhood
event in their home?
After an extensive assessment
of the client's home,
which situation does
the nurse identify
as an associated protective factor?
Okay, so this means
I'm a school nurse,
school-aged child,
they have an
adverse childhood event.
01:12
Now I do an extensive assessment
after that assessment,
this question is going
to give me options
that I need to identify as what?
Those last three words
of the sentence.
01:25
Even if you've never heard
this terminology before,
relax, I always tell people,
"Don't panic.
It's going to be okay."
You know, a lot of stuff
you have worked hard
in nursing school,
just look at the words together,
and kind of put together
what you think this could be.
01:41
This says associated,
that means to be with
protective, you know that word,
keep you safe. Factor.
01:50
So that's what I'm looking for.
01:52
I'm actually looking for which
one of these events or situations
will be an associated
protective factor.
02:00
So when you see the four options
come up in just a minute,
you're going to ask yourself:
Number one.
02:06
Is this unassociated
protective factor?
Yes or no?
Number two.
02:11
Is this an associated
protective factor?
Yes or no?
Number three.
02:17
Is this an associated
protective factor?
Yes or no?
And remember,
on every answer choice
you want to say,
"Why you have that opinion?"
Number four.
02:28
Is this an associated
protective factor?
Yes or no?
And say why
you've made that decision.
02:36
Okay, press pause.
02:37
I know that you have
just the numbers,
number one, number two,
number three, and number four,
on your practice sheet.
02:43
I want you to eliminate those
answer choices and say, why?
Then restart the video, and
we'll walk through the question.
02:58
Welcome back.
Let's take a look at this.
03:01
Now, if you've not heard of
adverse childhood events before,
usually you'll see in the
literature ACE, they're called ACEs.
03:09
What we know about adverse childhood
events is it's a scoring system.
03:12
There's a tool associated
with adverse childhood events.
03:16
The higher the score, the bigger
the risk the child has for having
chronic health issues and
problems throughout their life.
03:25
So if you haven't studied that yet,
in your program,
man, take a minute,
write in your notebook,
look up ACEs,
because it is fascinating research.
03:34
But we're looking for something as
an associated protective factor.
03:39
Am I looking for an ACE?
An adverse childhood event?
No.
The topic says that last sentence,
"I'm looking for an
associated protective factor."
Now looking at number one.
03:51
The child takes care of
two younger siblings.
03:54
Is that an
associated protective factor?
No. The child
should not be expected
to be like the caregiver
for two younger siblings.
04:05
This isn't something that
protects the school aged child.
04:08
This makes it more
difficult for them
and could be considered an
adverse childhood event,
depending on the situation.
04:15
Number two.
04:17
Is this an
associated protective factor?
The child attends
a youth group meeting each week.
04:24
Okay, let's look at that.
Does that sound like a bad thing?
Well, well, no.
Because protective factors
are positive influence
for the kids, right?
It helps their mental well being.
04:36
Now this means it might
be a sense of faith,
whatever their faith is.
04:40
Support, a stable family,
a trusted adult they can talk to
friendships they can count on,
and just feeling like they
can take care of themselves.
04:52
Otherwise, it may also be
including clubs or sports.
04:55
So when we're thinking
about protective factors,
what are these types of things
that help children
do well and be successful?
So if you don't know these,
you haven't heard of these before,
jot yourself some quick notes.
05:10
Let's run through them together.
05:11
They're things that positively
influence mental well being.
05:17
So, would this experience positively
influence mental well being?
Now think of these
in a positive aspect, right.
05:26
So having a sense of faith.
05:28
Meaning there's something
bigger than themselves.
05:30
Their family is stable,
and they feel supported.
05:33
They have a trusted
adult to confide in.
05:36
They have reliable friendships.
05:38
They have a strong sense
of being able
to do things themselves
or self sufficiency.
05:42
And they might even
participate in clubs or sports,
feeling like they belong.
05:47
All of those are examples
of protective factors
that positively influence
mental well being.
05:54
So with that long definition,
I wanted to make sure
you had that concept in mind.
05:59
Number two.
06:00
Attending a youth group meeting
each week.
06:03
Now, we have no reason
to believe that
this is not a positive experience.
06:07
It could be a sign
of belonging there.
06:09
So I'm going to leave number two in.
06:12
Number three.
06:13
Is this an
associated protective factor?
The child's parents divorced
when the client was a toddler.
06:20
No, we know,
associated protective factors
are things like a stable family.
06:24
So comparing
number two to number three,
number two, seems like more of
an associated protective factor.
06:31
The number three, that's why
I'm getting rid of number three.
06:35
Number four.
06:37
The child reads alone in the
library during lunchtime.
06:42
Then you think like,
"Hey, I like to read and I'm fine."
No, no, think of it this way.
Compare number two to number four.
06:49
Remember,
we're looking for specifically
an associated protective factor.
06:54
And when you find yourself
spiring, like,
"Well, that's not weird.
That shouldn't be a problem."
No, stop.
07:00
Go back to the topic of
the question and say,
which one of these two answers
is more of an associated protective
factor than the other one?
Because remember,
we're looking for something
that will positively influence
mental well being.
07:16
So would that be more
likely number two?
Or number four?
It's number two.
07:23
That's right. So be careful.
07:25
Don't be Spielberg.
07:26
Don't make a whole
movie that isn't there.
07:29
And remember,
the correct answer in this question
was number two.
07:35
That doesn't mean there's any one
answer that is universally correct.
07:39
Because it always depends on
what the other answers are.
07:42
That's what NCLEX is doing.
07:44
They're trying to see if you
have critical thinking skills,
that you can look at
options and determine
which one is the best option
that specifically addresses
the topic of the question?
All right, keep going.
07:58
You're getting better at this.
07:59
Reflect on your process
through this question.
08:02
Did you follow the
recommended steps?
Did you ask yourself on every
one of the answer choices?
Is this an
associated protective factor?
Is this an
associated protective factor?
Did you eliminate answer
choices and say why?
Those are the habits I want
you to keep practicing.
08:19
That's what's going to help you
really make a difference
in your performance.