A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
"My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot."
"My mother had me when she was in high school
"My English teacher is amazing. They really listen well."
"My parents are in the military. We have moved a lot since I was born,
The Correct Answer is C
C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders
A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.
B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.
D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.
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Correct Answer is D
Explanation
D. Antisocial personality disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with ASPD often engage in impulsive and aggressive behaviors, such as physical fights, reckless disregard for safety, and criminal activities. A Narcissistic personality disorder: Individuals with narcissistic personality disorder may display grandiosity, a need for admiration, and a lack of empathy, but they typically do not engage in aggressive or impulsive behavior.
B. While aggression can occur in individuals with borderline personality disorder, it is often directed towards themselves rather than others, and the presentation described in the scenario is more indicative of ASPD.
C. Individuals with histrionic personality disorder may seek attention, display exaggerated emotions, and have a strong desire to be the center of attention, but they are not typically associated with aggressive or violent behavior as described in the scenario.
Correct Answer is D
Explanation
D. A relapse plan is an essential component of managing schizophrenia and other mental health conditions. It helps individuals recognize early warning signs of a potential relapse and outlines steps to take to prevent or mitigate the worsening of symptoms. By having a relapse plan in place, the client can actively participate in their own recovery process and take proactive steps to maintain stability and well-being.
A. This response focuses on practical aspects such as living arrangements and employment, which may be components of a comprehensive care plan but may not fully address the client's question about the need for a relapse plan.
B. This response acknowledges the purpose of a relapse plan in helping the client manage their symptoms and cope with challenges while living in the community. However, it may not fully address the client's question about the need for a relapse plan.
C. While hospitalization may be a component of a relapse plan in certain circumstances, focusing solely on this aspect may not fully address the client's question and may inadvertently increase anxiety or stigma associated with hospitalization.
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