A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

Right vs wrong

Justified vs unjustified

Good vs bad

Adaptive vs maladaptive

Answer and Explanation

The Correct Answer is D

Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These

concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.

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Correct Answer is C

Explanation

Choice A rationale
Having the child carefully repeat the events of the trauma is not always the best strategy. Repeatedly recounting traumatic events can potentially retraumatize the child.
Choice B rationale
Assessing the child without their caregiver present can be beneficial in some cases, especially if there is a suspicion of abuse by the caregiver. However, in the context of school violence, it might be more beneficial to have a trusted adult present to provide comfort and support.
Choice C rationale
Having toys or drawing materials available for the child is a good strategy. Play and art can be therapeutic for children and can provide a non-threatening way for them to express their feelings and experiences.
Choice D rationale

Focusing solely on the physical domain of health may not provide a comprehensive understanding of the child’s experience. While physical health is important, understanding the child’s emotional and psychological responses to the violence is also crucial.

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 patient who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

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

A nurse is educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?

A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

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?

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for a 9-year-old child who mimics shooting a gun with their hand whenever someone enters the room or tries to interact with them. This is an example of which manifestation of post-traumatic stress disorder?

A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

A nurse is caring for a patient who has returned from a bereavement support group. Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?

A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?