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.”.
The Correct Answer is D
This scenario requires applying knowledge of mental health resilience and protective factors. To answer, one must distinguish between risk factors, such as maternal age or family instability, and positive childhood experiences, like supportive adult relationships, which mitigate the impact of anxiety disorders.
Choice A rationale: Maternal age at birth is often considered a social determinant of health rather than a protective factor. Adolescents born to teenage parents may face higher socio-economic challenges, which are generally categorized as potential risk factors for stress.
Choice B rationale: Having parents in the military is a demographic characteristic that often involves unique stressors. While military families can be supportive, the career itself is not inherently a protective childhood experience without further context regarding family dynamics.
Choice C rationale: Moving frequently, or high residential mobility, is typically viewed as a risk factor for adolescent anxiety. Frequent moves can disrupt social support networks, peer relationships, and educational consistency, potentially exacerbating symptoms of an anxiety disorder.
Choice D rationale: A supportive relationship with a non-parental adult, such as a teacher, is a significant protective factor. Positive childhood experiences involving being heard and supported build resilience and provide an emotional buffer against the effects of anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Paroxetine is a type of selective serotonin reuptake inhibitor (SSRI) that is commonly prescribed for the treatment of PTSD6. It works by increasing the levels of serotonin, a neurotransmitter that helps regulate mood, in the brain.
Choice B rationale
Semaglutide is a medication used to control blood sugar levels in people with type 2 diabetes. It is not typically used in the treatment of PTSD.
Choice C rationale
Tramadol is a prescription pain medication used to treat moderate to severe pain. While it can help manage physical symptoms that may accompany PTSD, it is not typically used as a primary treatment for the disorder.
Choice D rationale
Zaleplon is a medication used to treat insomnia. While it can help manage sleep disturbances that may accompany PTSD, it is not typically used as a primary treatment for the disorder.
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.
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