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 client with a family history of anxiety disorders and several positive childhood experiences.

A client with a family history of cancer who is recently unemployed.

A client who did not graduate from high school or complete their General Education Development (GED) test.

A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While a family history of anxiety disorders can increase the risk of developing such disorders, positive childhood experiences can serve as protective factors, reducing the likelihood of developing an anxiety disorder.
Choice B rationale

Although a family history of cancer can cause stress and anxiety, especially if the client is recently unemployed and potentially struggling with financial instability, this does not necessarily mean they are most likely to develop an anxiety disorder. Unemployment can indeed be a source of stress, but it is not a direct cause of anxiety disorders.
Choice C rationale
Not graduating from high school or not completing the GED test can lead to lower socioeconomic status and fewer job opportunities, which can be stressful. However, these factors alone do not make someone most likely to develop an anxiety disorder.
Choice D rationale
A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders is most likely to develop an anxiety disorder. Adverse childhood experiences, such as abuse and neglect, are significant risk factors for the development of anxiety disorders later in life. Furthermore, having parents with a history of anxiety disorders suggests a possible genetic predisposition.

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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. Agoraphobia B. Generalized anxiety disorder C. Selective mutism D. Separation anxiety disorder

Correct Answer is C

Explanation

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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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?

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 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?

Correct Answer is C

Explanation

A school nurse receives a telephone call from a parent who suspects their child has coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?

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?

A nurse is caring for a school-age child who witnessed a violent crime. Each time the child recalls the event, the details differ from previous recollections. Which of the following trauma-related symptoms is the child experiencing?

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 client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault.The parent mentions that their child has been experimenting with drugs. Why would they be doing this?