A nurse assisting with the care of a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?
Agoraphobia
Separation anxiety disorder
Generalized anxiety disorder
Selective mutism
The Correct Answer is D
Choice A reason: Agoraphobia involves fear of being in places where escape might be difficult, often leading to avoidance of public spaces. It does not manifest as consistent inability to speak in social situations.
Choice B reason: Separation anxiety disorder is characterized by excessive fear or anxiety when separated from attachment figures. It does not explain the child’s inability to speak in class or social settings.
Choice C reason: Generalized anxiety disorder involves excessive worry across multiple domains of life. While it can cause social difficulties, it does not specifically present as consistent mutism in social situations.
Choice D reason: Selective mutism is the correct diagnosis. It is an anxiety disorder in which a child consistently fails to speak in specific social situations, such as school, despite speaking normally in other settings like home. The child’s inability to speak in class and social situations matches this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Telling the client everything is going to be okay is overly simplistic and does not provide therapeutic support. Clients with panic disorder need structured coping strategies rather than reassurance alone.
Choice B reason: Helping the client avoid panic-producing situations is appropriate because it reduces exposure to triggers that can precipitate panic attacks. This intervention helps the client feel safe and supported.
Choice C reason: Reminding the client to practice relaxation when anxiety is low is effective because it builds coping skills that can be used during times of heightened anxiety. Techniques such as deep breathing and progressive muscle relaxation are beneficial.
Choice D reason: Telling the client to ignore anxious feelings is inappropriate because it invalidates their experience. Clients need to acknowledge and process their feelings to develop effective coping strategies.
Choice E reason: Encouraging the client to verbalize feelings is therapeutic because it helps them express emotions, gain insight, and receive support. This intervention fosters trust and reduces isolation.
Correct Answer is D
Explanation
Choice A reason: Agoraphobia involves fear of being in places where escape might be difficult, often leading to avoidance of public spaces. It does not manifest as consistent inability to speak in social situations.
Choice B reason: Separation anxiety disorder is characterized by excessive fear or anxiety when separated from attachment figures. It does not explain the child’s inability to speak in class or social settings.
Choice C reason: Generalized anxiety disorder involves excessive worry across multiple domains of life. While it can cause social difficulties, it does not specifically present as consistent mutism in social situations.
Choice D reason: Selective mutism is the correct diagnosis. It is an anxiety disorder in which a child consistently fails to speak in specific social situations, such as school, despite speaking normally in other settings like home. The child’s inability to speak in class and social situations matches this condition.
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