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.
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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 A
Explanation
Choice A rationale
Chronic trauma refers to repeated exposure to traumatic events over a long period. Abuse and neglect since early childhood, as in the case of the adolescent in the question, is a clear example of chronic trauma.
Choice B rationale
Vicarious trauma occurs when an individual becomes traumatized not by directly experiencing a traumatic event, but by exposure to graphic or traumatic material as part of their work. This is not the case for the adolescent in the question.
Choice C rationale
Acute trauma results from a single, unexpected, and stressful event. This does not apply to the adolescent in the question, who has been subjected to abuse and neglect since early childhood.
Choice D rationale
Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event. This does not apply to the adolescent in the question.
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