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?

“My mother had me when she was in high school.”.

“My parents are in the military.

We have moved a lot since I was born.”.

“My English teacher is amazing. They really listen well.”.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

Choice A rationale
The symptoms described by the patient are indicative of Generalized Anxiety Disorder (GAD). GAD is characterized by excessive anxiety and worry about a number of events or activities.
The worry is out of proportion to the actual circumstance and is difficult to control.
Choice B rationale
Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
Choice C rationale
Agoraphobia involves fear and avoidance of situations where escape might be difficult or help might not be available in the event of developing panic-like symptoms.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.

A. Experiencing or witnessing a traumatic event can lead to the development of a trauma-related disorder. B. Developing a trauma-related disorder is a result of genetics - people are born that way. C. Developing a trauma-related disorder is due to a chemical imbalance in the brain. D. Developing a traumatic disorder requires an experience of physical harm.

Correct Answer is A

Explanation

Choice A rationale
Experiencing or witnessing a traumatic event can indeed lead to the development of a trauma- related disorder. When a person’s natural coping mechanisms are overwhelmed by what they’re experiencing — physically, mentally, or both — their body does what it can to protect them. This includes short-term effects like emotional numbing or keeping them in a state of alertness. However, sometimes the effects of trauma linger, persisting throughout life, causing anxiety, trouble sleeping, and intrusive thoughts that can interfere with daily activities.
Choice B rationale
While genetics can play a role in the development of trauma-related disorders, it is not the sole cause. Trauma-related disorders typically develop after exposure to a traumatic or stressful event.
Choice C rationale
A chemical imbalance in the brain can be a result of trauma, but it is not the cause of trauma- related disorders. These disorders typically develop after exposure to a traumatic or stressful event.
Choice D rationale
Physical harm can indeed be traumatic and lead to the development of trauma-related disorders, but it is not a requirement. Trauma can also result from psychological, emotional, or environmental stressors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a patient who is experiencing excessive anxiety and worry in response to various situations, and is unable to control their worry. Which of the following conditions should the nurse identify these symptoms as indicative of?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

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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?