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","B","D"]
Explanation
Choice A reason: Planning alternate escape routes is a core part of safety planning, ensuring the victim can exit safely even if blocked.
Choice B reason: Having an emergency bag ready allows quick departure and reduces risk of having to return to the abuser’s home.
Choice C reason: Giving the abuser information about location compromises safety and places the victim at greater risk.
Choice D reason: Establishing a signal with trusted individuals ensures the victim can get help quickly if violence escalates.
Choice E reason: Encouraging firearm purchase is not an appropriate nursing intervention due to safety risks and escalation potential. Safer protective strategies should be emphasized.
Correct Answer is C
Explanation
Choice A reason: SSRIs are antidepressants used to treat depression and anxiety disorders. They do not address extrapyramidal side effects like acute dystonia, so they would not be useful in this case.
Choice B reason: Beta-blockers are primarily used for cardiovascular conditions and akathisia (a sense of restlessness), but they are not the treatment of choice for acute dystonia.
Choice C reason: Diphenhydramine, an antihistamine with strong anticholinergic properties, is effective in treating acute dystonia by restoring the balance between dopamine and acetylcholine in the basal ganglia. This makes it the correct choice for managing the client’s symptoms.
Choice D reason: Benzodiazepines may help with agitation or anxiety, but they are not first-line treatment for acute dystonic reactions caused by antipsychotic medications.
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