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?

“I am sorry about the trauma you and your family experienced.”.

“Did this trauma occur when you were a young child?”

“It must be difficult to appear that you are…”

“I understand the impact of historical trauma on your family.”.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

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.

A. Anxiety can manifest alongside other medical and psychiatric conditions. B. Anxiety can only manifest in the presence of recognized nonmodifiable risk factors. C. Anxiety can only manifest in the presence of recognized modifiable risk factors. D. Anxiety cannot manifest alongside other medical and psychiatric conditions.

Correct Answer is A

Explanation

Choice A rationale
Anxiety is considered transdiagnostic because it can manifest alongside other medical and psychiatric conditions. This means that a person with generalized anxiety disorder (GAD) may also have other conditions such as depression, heart disease, or gastrointestinal problems. The presence of anxiety can also exacerbate the symptoms of these other conditions.
Choice B rationale
Anxiety does not only manifest in the presence of recognized nonmodifiable risk factors. There are many factors that can contribute to the development of anxiety, including genetic predisposition, environmental factors, and personal experiences.
Choice C rationale

While there are recognized modifiable risk factors for anxiety, such as stress and lifestyle factors, anxiety does not only manifest in the presence of these factors. Anxiety is a complex condition that can be influenced by a variety of factors.
Choice D rationale
This statement is incorrect. As mentioned in Choice A, anxiety can and often does manifest alongside other medical and psychiatric conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent with an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

Correct Answer is C

Explanation

A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?

Correct Answer is A

Explanation

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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?