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?

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.

Choice A rationale
While it’s true that some mutations can allow a virus to survive longer in the environment, this doesn’t necessarily increase the virus’s communicability, or its ability to spread from person to person.
Choice B rationale
A mutation that causes more severe disease can make an illness more dangerous, but it doesn’t necessarily make the virus more communicable. In fact, viruses that cause severe disease can sometimes be less communicable, because severely ill individuals are less likely to be moving around and spreading the virus.
Choice C rationale
The new mutation spreads easier from one individual to another. This is the definition of increased communicability. When a virus mutates in a way that allows it to spread more easily between individuals, this can lead to more cases of the disease, especially if the population is not immune to the new strain.
Choice D rationale

A mutation that requires a larger amount of the virus to cause disease would actually decrease the virus’s communicability. If more viral particles are needed to cause an infection, the virus would be less likely to spread from person to person.