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 B
Explanation
A. "Why did you feel you needed to do that at this time?": This response might come off as insensitive or judgmental. It could imply that the parents made an inappropriate decision without acknowledging their difficult situation.
B. "It must be frustrating for you to have to cancel an activity your son enjoyed.": This response validates the parents' feelings and acknowledges the emotional difficulty of making such a decision. It shows empathy and understanding of their situation.
C. "You never know. He could be ready for baseball by the spring.": This response offers false hope and may not be realistic given the child’s terminal illness. It could undermine the parents’ acceptance of the situation.
D. "Baseball can be a dangerous sport for children anyway.": This response dismisses the parents' feelings and does not acknowledge the real reason for canceling the activity. It is insensitive to the gravity of their situation.
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