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 C
Choice A rationale
Having a mother who had you when she was in high school does not necessarily indicate a protective factor. It could mean that the mother was not fully prepared for the responsibilities of parenthood, which could have led to a less stable upbringing.
Choice B rationale
Having parents in the military and moving a lot since birth can be a source of stress and instability for a child. Constantly changing environments and having to adapt to new schools and make new friends can be challenging and anxiety-inducing.
Choice C rationale
Having a supportive and understanding teacher can be a significant protective factor for an adolescent with an anxiety disorder. A teacher who listens well can provide a safe and supportive environment for the student to express their feelings and concerns, which can help alleviate anxiety.
Choice D rationale
Having a sibling with health problems can be a source of stress and anxiety for a child. The parents’ attention might be primarily focused on the sibling’s health issues, which could lead to feelings of neglect or added pressure to be the “healthy” or “problem-free” child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.
Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.
Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.
Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.
Correct Answer is C
Explanation
Choice A rationale
Being credible, collaborative, and consistent are important qualities for a nurse, but they do not specifically address the ethical and empathetic aspects of nursing care during a pandemic.
Choice B rationale
Being transparent and honest are important, but politeness does not necessarily equate to empathy. Furthermore, this choice does not address the collaborative aspect of nursing care, which is crucial during a pandemic.
Choice C rationale
Being transparent, collaborative, and consistent are all important behaviors for providing ethical and empathetic nursing care during a pandemic. Transparency ensures that patients and their families are fully informed about their care, collaboration ensures that all members of the healthcare team are working together for the benefit of the patient, and consistency ensures that care is reliable and dependable.
Choice D rationale
While honesty and caring are important, consistency alone does not necessarily equate to ethical and empathetic care. This choice does not address the importance of transparency and collaboration in nursing care during a pandemic.
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