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 D

Explanation

Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.

A. “Do you understand your next step in treatment?” B. “Do you need any more resources or information?” C. “Tell me what kind of coping skills you have.”. D. “You feel like you have the support needed to be successful.”. E. None F. None

Correct Answer is D

Explanation

Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.

Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.

Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.

Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.

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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 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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

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 assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit. The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?

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 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?

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?