A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents.
The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

Choice A rationale
Having a mother who had you when she was in high school does not necessarily indicate a protective factor. It could mean that the mother was not fully prepared for the responsibilities of parenthood, which could have led to a less stable upbringing.
Choice B rationale
Having parents in the military and moving a lot since birth can be a source of stress and instability for a child. Constantly changing environments and having to adapt to new schools and make new friends can be challenging and anxiety-inducing.
Choice C rationale
Having a supportive and understanding teacher can be a significant protective factor for an adolescent with an anxiety disorder. A teacher who listens well can provide a safe and supportive environment for the student to express their feelings and concerns, which can help alleviate anxiety.
Choice D rationale

Having a sibling with health problems can be a source of stress and anxiety for a child. The parents’ attention might be primarily focused on the sibling’s health issues, which could lead to feelings of neglect or added pressure to be the “healthy” or “problem-free” child.

Choice A rationale

Secondary trauma, also known as vicarious trauma or compassion fatigue, is a type of trauma that can occur in individuals who help or want to help others (like healthcare workers) experiencing a traumatic event. This can include feelings of fear, hopelessness, and difficulties in functioning, similar to those experienced by the person who underwent the actual trauma.
Choice B rationale
Acute trauma is typically associated with a single, severe traumatic event, not the ongoing stress of working in a high-stress environment like a Covid-19 unit.
Choice C rationale
Complex trauma refers to a type of trauma that occurs repeatedly and cumulatively, usually over a period of time and within specific relationships and contexts. It is not typically used to describe the experiences of healthcare workers in a pandemic.
Choice D rationale
Chronic trauma refers to the experience of multiple traumatic events. It is often used to describe situations such as ongoing child abuse, domestic violence, or war. It is not the most accurate term to describe the experiences of healthcare workers in a pandemic.