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?

Anxiety can manifest alongside other medical and psychiatric conditions.

Anxiety can only manifest in the presence of recognized nonmodifiable risk factors.

Anxiety can only manifest in the presence of recognized modifiable risk factors.

Anxiety cannot manifest alongside other medical and psychiatric conditions.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

Choice A rationale
This statement indicates the patient is still struggling with the loss and may not be meeting the planned outcomes of treatment.
Choice B rationale
This statement indicates regret and longing, suggesting the patient may still be in the grieving process.
Choice C rationale

This statement indicates the patient is ready to make new memories and move forward, suggesting they are meeting the planned outcomes of treatment.
Choice D rationale
While this statement shows understanding, it also indicates the patient is still deeply missing their partner, suggesting they may still be in the grieving process.

A. “It has been more than a year, and I still don’t want to leave the house.”. B. “I can’t cry when I talk about my friend because I’m supposed to be strong.”. C. “I should have been the one who was killed instead of my friend.”. D. “When I have flashbacks, it feels like my heart is going to beat through my chest.”.

Correct Answer is C

Explanation

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

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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?

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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?