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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,

Answer and Explanation

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 B

Explanation

B. The symptoms described—hyperactivity, impulsivity, and inattentiveness—are characteristic of attention-deficit/hyperactivity disorder (ADHD). Central nervous system (CNS) stimulants, such as methylphenidate or amphetamine-based medications, are commonly prescribed as first- line treatments for ADHD.

A. While dopamine dysregulation is implicated in ADHD, dopamine antagonists are more commonly used to treat psychotic disorders such as schizophrenia.

C. While they may be prescribed for conditions such as depression, anxiety, and certain other mood disorders, they are not typically used as first-line treatment for ADHD.

D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures. They are not indicated for the treatment of ADHD and do not address the core symptoms of the disorder.

A. Anabolic steroids B. Opioids C. Stimulants D. Hallucinogens

Correct Answer is D

Explanation

D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.

A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.

B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.

C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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