A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations.
Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Agoraphobia

Generalized anxiety disorder

Selective mutism

Separation anxiety disorder

Answer and Explanation

The Correct Answer is C

Choice A rationale
Agoraphobia is characterized by a fear of being in situations where escape might be difficult or embarrassing, or help might not be available in the event of panic symptoms. This does not align with the child’s symptoms of not being able to speak in class or other social situations.
Choice B rationale
Generalized anxiety disorder is characterized by excessive, uncontrollable worry about a variety of topics and is not specific to social situations. The child’s symptoms are more specific to social situations, which does not align with generalized anxiety disorder.

Choice C rationale
Selective mutism is an anxiety disorder characterized by a consistent failure to speak in specific social situations in which there is an expectation for speaking, despite speaking in other situations. This aligns with the child’s symptoms of not being able to speak during class and other social situations.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached. The child’s symptoms do not indicate a fear of separation, but rather a fear of speaking in social situations.

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Correct Answer is C

Explanation

Choice A rationale
While understanding the connection between thoughts, feelings, and behavior is a key component of many therapeutic approaches, it is not the primary focus of prolonged exposure therapy.
Choice B rationale
Encouraging patients to talk as a way of developing self-awareness is a common technique in various forms of therapy, but it does not specifically describe how prolonged exposure therapy works.
Choice C rationale
Prolonged exposure therapy involves helping patients safely and gradually face memories or situations related to their trauma that evoke fear. The goal is to reduce the avoidance of trauma-related memories and cues, which can decrease PTSD symptoms and improve quality of life.
Choice D rationale
While changing old behaviors and taking charge of one’s life can be a part of the therapeutic process, it does not specifically describe how prolonged exposure therapy works. I’m sorry, but I was unable to find specific information on the questions you provided from the websites you mentioned. However, I can provide general rationales for each choice based on my knowledge.

A. “I am sorry about the trauma you and your family experienced.”. B. “Did this trauma occur when you were a young child?” C. “It must be difficult to appear that you are…” D. “I understand the impact of historical trauma on your family.”.

Correct Answer is D

Explanation

Choice A rationale
While expressing empathy is important, this response does not demonstrate an understanding of the concept of historical trauma. Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event.

Choice B rationale
This response is not appropriate as it attempts to pinpoint the trauma to a specific time in the client’s life. The client is referring to a historical trauma that affected their ancestors and continues to impact their family.
Choice C rationale
This response is vague and does not address the client’s statement about the impact of historical trauma on their family.
Choice D rationale
This is the correct response. By stating that they understand the impact of historical trauma, the nurse acknowledges the long-term effects of traumatic events that occurred in the past and continue to affect the client’s family.

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A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

Correct Answer is C

Explanation

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

Correct Answer is D

Explanation

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?

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A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

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A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations.
Which of the following anxiety disorders should the nurse identify that the child is experiencing?