A nurse is caring for a child diagnosed with Separation Anxiety Disorder. Which of the following assessment findings should the nurse recognize to be associated with Separation Anxiety Disorder?
The child's mother and father have an inconsistent parenting style.
The child previously had an extroverted temperament.
The child's mother is diagnosed with an anxiety disorder.
The child has a history of antisocial behaviors.
The Correct Answer is C
A. The child's mother and father have an inconsistent parenting style: Inconsistent parenting styles can contribute to anxiety in children by creating an unpredictable environment, which may increase the risk of separation anxiety. However, it is not a direct indicator of separation anxiety disorder.
B. The child previously had an extroverted temperament. An extroverted temperament is not typically associated with separation anxiety disorder. Children with this disorder are often more anxious, fearful, and dependent on attachment figures.
C. The child's mother is diagnosed with an anxiety disorder. A family history of anxiety disorders, particularly in a parent, can increase the risk of separation anxiety in children due to genetic and environmental factors. This choice is correct.
D. The child has a history of antisocial behaviors. Antisocial behaviors, such as aggression and defiance, are more indicative of conduct disorders or oppositional defiant disorder rather than separation anxiety disorder, which is characterized by excessive fear of separation from attachment figures .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Age-related cognitive changes may lead to alterations in mental status." Age-related cognitive changes, such as mild cognitive impairment, can increase the risk of delirium, but the statement is too general. Delirium is typically acute and caused by specific factors like medication, infection, or metabolic imbalances, not just normal age-related changes . Therefore, this choice is incorrect.
B. "Lack of rigorous exercise may lead to alterations in mental status." While lack of exercise can impact overall health and well-being, it is not a direct risk factor for delirium. Delirium is more closely associated with acute medical conditions, medication interactions, or environmental factors . Therefore, this choice is incorrect.
C. "Decreased social interaction may lead to profound isolation and psychosis." Decreased social interaction can lead to isolation and mental health issues like depression, but it is not a direct cause of delirium. Delirium typically results from acute physiological changes rather than social factors . Therefore, this choice is incorrect.
D. "Taking multiple medications may lead to adverse interactions or toxicity." Polypharmacy, or taking multiple medications, is a significant risk factor for delirium in older adults due to the potential for adverse drug interactions and toxicity. This can lead to acute changes in mental status characteristic of delirium . This choice is correct.
Correct Answer is A
Explanation
A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities: This is the correct approach according to child protection guidelines. School personnel are mandated reporters and must report suspected abuse or neglect to protect the child's safety.
B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion: This approach can inadvertently pressure the child and is not recommended as it may lead to further distress or inaccurate information.
C. Respect the child's privacy and wait for them to share information about the injuries voluntarily: While respecting privacy is important, child protection takes precedence when there are signs of abuse or neglect.
D. Document and discuss the observations with the child's teacher to gather more information: While documentation is important, it should not delay reporting suspected abuse or neglect to the appropriate authorities.
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