A nurse is providing education to a group of clients with generalized anxiety disorder (GAD) Which statement by a client indicates a correct understanding of GAD?

"Extroverted personality traits."

Choice A rationale:

Having a family history of anxiety disorders can increase the risk of developing GAD due to genetic factors and shared environmental influences. Genetic predisposition contributes to the vulnerability to anxiety disorders.

Choice B rationale:

Chronic medical conditions can contribute to the development of GAD. Living with ongoing health concerns and uncertainties about one's health status can lead to chronic worry and anxiety.

Choice C rationale:

Extroverted personality traits are not typically associated with an increased risk of GAD. Instead, introverted traits and tendencies toward overthinking, perfectionism, and excessive worry are more closely linked to the development of GAD.

Choice D rationale:

A history of trauma or abuse is a well-established risk factor for GAD. Traumatic experiences can result in heightened anxiety responses and the development of anxiety disorders as a way of coping with the trauma.

"Facing your fears gradually can be an effective strategy."

Choice A rationale:

Telling the client that avoiding triggers will help overcome anxiety might inadvertently reinforce avoidance behaviors, which can worsen anxiety over time. Avoidance prevents the client from developing coping skills and facing their fears, hindering their progress in managing anxiety.

Choice B rationale:

This response is appropriate because it supports the principle of exposure therapy, a widely recognized approach for anxiety disorders. Gradually confronting anxiety triggers in a controlled manner can help desensitize the client to those triggers and reduce anxiety over time. By facing fears, the client learns to manage their anxiety in real-life situations, leading to improved overall functioning.

Choice C rationale:

Indicating that avoidance is the best way to manage anxiety is incorrect. Avoidance perpetuates anxiety by preventing the client from learning how to cope with triggers and situations that provoke anxiety. Over time, avoidance can lead to greater distress and impairment in daily life.

Choice D rationale:

Stating that avoiding triggers is a permanent solution for GAD is inaccurate. Avoidance only offers temporary relief and does not address the underlying anxiety or provide long-term strategies for managing it. Without proper intervention, the client's anxiety is likely to persist and even worsen.