A nurse is caring for an adolescent with an anxiety disorder.
Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
“My mother had me when she was in high school.”.
“My parents are in the military.
We have moved a lot since I was born.”.
“My English teacher is amazing. They really listen well.”.
The Correct Answer is D
This scenario requires applying knowledge of mental health resilience and protective factors. To answer, one must distinguish between risk factors, such as maternal age or family instability, and positive childhood experiences, like supportive adult relationships, which mitigate the impact of anxiety disorders.
Choice A rationale: Maternal age at birth is often considered a social determinant of health rather than a protective factor. Adolescents born to teenage parents may face higher socio-economic challenges, which are generally categorized as potential risk factors for stress.
Choice B rationale: Having parents in the military is a demographic characteristic that often involves unique stressors. While military families can be supportive, the career itself is not inherently a protective childhood experience without further context regarding family dynamics.
Choice C rationale: Moving frequently, or high residential mobility, is typically viewed as a risk factor for adolescent anxiety. Frequent moves can disrupt social support networks, peer relationships, and educational consistency, potentially exacerbating symptoms of an anxiety disorder.
Choice D rationale: A supportive relationship with a non-parental adult, such as a teacher, is a significant protective factor. Positive childhood experiences involving being heard and supported build resilience and provide an emotional buffer against the effects of anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale
Medicare is a federal health insurance program in the United States that primarily serves individuals aged 65 or older. It also covers some younger people with disabilities and those with End-Stage Renal Disease or ALS23456. Therefore, a client who is age 65 or older would be eligible for the Medicare program.
Choice B rationale
While it is true that many individuals seek Medicare coverage because they do not have any other kind of health insurance, this is not a criterion for eligibility. Medicare is not solely for those without other health insurance.
Choice C rationale
Medicare does not typically cover individuals under the age of 18. It is primarily designed for individuals aged 65 or older, as well as some younger individuals with certain disabilities and conditions.
Choice D rationale
Income level is not a direct criterion for Medicare eligibility. While certain low-income individuals may be eligible for specific parts of Medicare, simply having an income below the poverty line does not make a client eligible for the program.
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