A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders?
Separation anxiety disorder.
Agoraphobia.
Generalized anxiety disorder.
Selective mutism.
The Correct Answer is D
Choice A reason: Separation anxiety disorder involves excessive distress when separated from caregivers, but the key feature here is lack of speech in specific settings.
Choice B reason: Agoraphobia is the fear of being in situations where escape may be difficult, not selective inability to speak.
Choice C reason: Generalized anxiety disorder is characterized by excessive worry in many areas of life, not persistent mutism in social contexts.
Choice D reason: Selective mutism is an anxiety disorder where a child consistently fails to speak in certain settings, like school, despite being able to speak in others, making this the correct diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Nurses have a duty to protect potential victims from harm. Breaking confidentiality is justified to warn the intended victim and involve the healthcare team, consistent with the Tarasoff duty to warn principle.
Choice B reason: Warning the victim without involving the treatment team ignores the collaborative care process and may compromise safety planning.
Choice C reason: Waiting to act places the potential victim at risk and disregards the ethical duty to prevent harm.
Choice D reason: Maintaining confidentiality in this situation endangers others and violates the ethical principle of nonmaleficence.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Social withdrawal is a negative symptom of schizophrenia, reflecting reduced engagement rather than an excess or distortion of normal function.
Choice B reason: Delusional thinking is a hallmark positive symptom, representing a distortion of reality through fixed false beliefs.
Choice C reason: Bizarre or disorganized behavior, such as unusual movements or incoherent actions, is a positive symptom reflecting disruption in normal functioning.
Choice D reason: Flat affect is a negative symptom, reflecting diminished emotional expression rather than an added or distorted behavior.
Choice E reason: Auditory hallucinations are classic positive symptoms, involving perception of voices or sounds that are not present in reality.
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