A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations.
Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Agoraphobia

Generalized anxiety disorder

Selective mutism

Separation anxiety disorder

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

Choice A rationale
Anxiety is considered transdiagnostic because it can manifest alongside other medical and psychiatric conditions. This means that a person with generalized anxiety disorder (GAD) may also have other conditions such as depression, heart disease, or gastrointestinal problems. The presence of anxiety can also exacerbate the symptoms of these other conditions.
Choice B rationale
Anxiety does not only manifest in the presence of recognized nonmodifiable risk factors. There are many factors that can contribute to the development of anxiety, including genetic predisposition, environmental factors, and personal experiences.
Choice C rationale

While there are recognized modifiable risk factors for anxiety, such as stress and lifestyle factors, anxiety does not only manifest in the presence of these factors. Anxiety is a complex condition that can be influenced by a variety of factors.
Choice D rationale
This statement is incorrect. As mentioned in Choice A, anxiety can and often does manifest alongside other medical and psychiatric conditions.

A. When a client becomes agitated. B. While administering chemical or physical restraints. C. During debriefing after restraint removal. D. Upon admission.

Correct Answer is D

Explanation

Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.

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A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations.
Which of the following anxiety disorders should the nurse identify that the child is experiencing?