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 D
Explanation
Choice A rationale
While expressing empathy is important, this response does not demonstrate an understanding of the concept of historical trauma. Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event.
Choice B rationale
This response is not appropriate as it attempts to pinpoint the trauma to a specific time in the client’s life. The client is referring to a historical trauma that affected their ancestors and continues to impact their family.
Choice C rationale
This response is vague and does not address the client’s statement about the impact of historical trauma on their family.
Choice D rationale
This is the correct response. By stating that they understand the impact of historical trauma, the nurse acknowledges the long-term effects of traumatic events that occurred in the past and continue to affect the client’s family.
Correct Answer is C
Explanation
Choice A rationale
Clean drinking water is indeed crucial for preventing many diseases, especially those transmitted through the fecal-oral route or waterborne diseases such as cholera, typhoid, and hepatitis A1. However, it is not specifically targeted at diseases that are transmitted directly from person to person. Directly transmitted diseases are often spread through direct contact, such as person-to-person contact or droplet spread. Therefore, while clean drinking water is an essential aspect of public health, it is not the most effective method for preventing diseases that are transmitted directly.
Choice B rationale
Pest control is an important measure for preventing diseases transmitted by vectors, such as mosquitoes, ticks, and fleas. Diseases like malaria, dengue, Lyme disease, and plague are examples of vector-borne diseases. However, these diseases are not considered directly transmitted diseases. Direct transmission occurs when an infectious agent is transferred from a reservoir to a susceptible host by direct contact or droplet spread. Therefore, pest control, while important, is not the primary prevention method for diseases that are transmitted directly.
Choice C rationale
Isolation is one of the most effective methods for preventing the spread of directly transmitted diseases. When a person is isolated, they are separated from others to prevent the spread of communicable diseases. Isolation is used in healthcare settings to prevent the spread of infectious diseases that can be transmitted directly from person to person, such as tuberculosis, influenza, and COVID-191. Therefore, isolation is a key prevention method for diseases that are transmitted directly.
Choice D rationale
Proper sanitation, like clean drinking water, is crucial for preventing many diseases, particularly those transmitted through the fecal-oral route. Proper sanitation involves safely managing human waste and maintaining hygienic conditions through services such as garbage collection and wastewater disposal. While it is an essential aspect of public health, proper sanitation is not the most effective method for preventing diseases that are transmitted directly from person to person.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.