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 B
Explanation
Choice A reason: Processing auditory information and comprehension is primarily the function of the temporal lobe, not the parietal lobe.
Choice B reason: The parietal lobe is responsible for integrating sensory input such as touch, pain, pressure, and temperature, allowing the brain to form a coherent understanding of the body’s physical state.
Choice C reason: Voluntary muscle movement coordination and balance are functions of the cerebellum and motor cortex, not the parietal lobe.
Choice D reason: Emotions and memory formation are primarily regulated by the limbic system, especially the amygdala and hippocampus, not the parietal lobe.
Correct Answer is B
Explanation
Choice A reason: Displacement involves transferring feelings from one object or person to another safer target, which is not occurring here.
Choice B reason: Returning to earlier developmental behaviors, such as holding a childhood toy and speaking like a child during stress, is a clear example of regression.
Choice C reason: Sublimation is channeling unacceptable impulses into constructive activities, which is not shown in this scenario.
Choice D reason: Repression involves unconsciously blocking distressing thoughts or feelings, but in this case the client is acting out stress through childlike behavior.
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