The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?

B. Panic-level anxiety is characterized by intense and overwhelming feelings of fear and apprehension. Physical symptoms often accompany this level of anxiety, and shakiness or tremors are common manifestations. The individual may experience trembling or shaking of the hands, voice, or other parts of the body due to heightened physiological arousal.

A. Voice tremors can occur in individuals experiencing anxiety, particularly when they are feeling highly stressed or nervous. However, shakiness or trembling in the body is more characteristic of panic level anxiety.

C. Depersonalization involves feelings of detachment from oneself or one's surroundings, as if observing oneself from outside the body or feeling disconnected from reality.

D Poor concentration or difficulty focusing can occur in individuals experiencing anxiety, including panic level anxiety. However, it is more of a cognitive symptom rather than a physical manifestation such as shakiness or tremors.

D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.

A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.

B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.

C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.