A nurse is caring for a child diagnosed with Separation Anxiety Disorder. Which of the following assessment findings should the nurse recognize to be associated with Separation Anxiety Disorder?
The child's mother and father have an inconsistent parenting style.
The child previously had an extroverted temperament.
The child's mother is diagnosed with an anxiety disorder.
The child has a history of antisocial behaviors.
The Correct Answer is C
A. The child's mother and father have an inconsistent parenting style: Inconsistent parenting styles can contribute to anxiety in children by creating an unpredictable environment, which may increase the risk of separation anxiety. However, it is not a direct indicator of separation anxiety disorder.
B. The child previously had an extroverted temperament. An extroverted temperament is not typically associated with separation anxiety disorder. Children with this disorder are often more anxious, fearful, and dependent on attachment figures.
C. The child's mother is diagnosed with an anxiety disorder. A family history of anxiety disorders, particularly in a parent, can increase the risk of separation anxiety in children due to genetic and environmental factors. This choice is correct.
D. The child has a history of antisocial behaviors. Antisocial behaviors, such as aggression and defiance, are more indicative of conduct disorders or oppositional defiant disorder rather than separation anxiety disorder, which is characterized by excessive fear of separation from attachment figures .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Physical activity level: Physical activity is important for overall health and can have positive effects on mental health by reducing the risk of depression and cognitive decline. However, while it is a significant factor, it is not the most strongly associated factor with mental health in older adults compared to social isolation.
B. Financial status: Financial stability can impact access to healthcare and overall quality of life, but it is not the primary factor influencing mental health. While financial stress can contribute to mental health issues, social factors tend to have a more direct and profound impact.
C. Social isolation: Social isolation is a major risk factor for mental health problems in older adults, including depression, anxiety, and cognitive decline. Lack of social interaction can lead to feelings of loneliness and increase the risk of mental health disorders, making it the most critical factor to consider. This choice is correct.
D. Dietary habits: Good nutrition is essential for maintaining physical and mental health, and poor dietary habits can contribute to various health issues. However, social isolation has a more direct impact on mental health outcomes in older adults compared to diet alone.
Correct Answer is B
Explanation
A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.
B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.
C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.
D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.
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