A nurse is educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?
A client with a family history of anxiety disorders and several positive childhood experiences.
A client with a family history of cancer who is recently unemployed.
A client who did not graduate from high school or complete their General Education Development (GED) test.
A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders.
The Correct Answer is D
Choice A rationale
While a family history of anxiety disorders can increase the risk of developing such disorders, positive childhood experiences can serve as protective factors, reducing the likelihood of developing an anxiety disorder.
Choice B rationale
Although a family history of cancer can cause stress and anxiety, especially if the client is recently unemployed and potentially struggling with financial instability, this does not necessarily mean they are most likely to develop an anxiety disorder. Unemployment can indeed be a source of stress, but it is not a direct cause of anxiety disorders.
Choice C rationale
Not graduating from high school or not completing the GED test can lead to lower socioeconomic status and fewer job opportunities, which can be stressful. However, these factors alone do not make someone most likely to develop an anxiety disorder.
Choice D rationale
A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders is most likely to develop an anxiety disorder. Adverse childhood experiences, such as abuse and neglect, are significant risk factors for the development of anxiety disorders later in life. Furthermore, having parents with a history of anxiety disorders suggests a possible genetic predisposition.
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 D
Explanation
Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These
concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.
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