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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Asking both clients to take a time out in their separate rooms may not be the best first intervention. This approach might not address the root cause of the argument and could potentially escalate the situation if one or both of the residents feel unfairly treated.
Choice B rationale
Distracting the clients by asking them to participate in an activity is the most appropriate first intervention. This approach can help defuse the situation and redirect the residents’ attention away from the argument. It’s a non-confrontational way to de-escalate the situation and can help maintain a peaceful environment in the facility.
Choice C rationale

Sending both clients into seclusion is not an appropriate first intervention. Seclusion should be used as a last resort and only when the residents pose a risk to themselves or others. In this case, the argument does not seem to have escalated to a level that would warrant such a drastic measure.
Choice D rationale
Physically restraining both clients is not an appropriate first intervention. Restraints should only be used as a last resort when there is an immediate risk of harm to the residents or others. In this case, the argument does not seem to have escalated to a level that would warrant physical restraint.

A. Agoraphobia B. Generalized anxiety disorder C. Selective mutism D. Separation anxiety disorder

Correct Answer is C

Explanation

Choice A rationale
Agoraphobia is characterized by a fear of being in situations where escape might be difficult or embarrassing, or help might not be available in the event of panic symptoms. This does not align with the child’s symptoms of not being able to speak in class or other social situations.
Choice B rationale
Generalized anxiety disorder is characterized by excessive, uncontrollable worry about a variety of topics and is not specific to social situations. The child’s symptoms are more specific to social situations, which does not align with generalized anxiety disorder.

Choice C rationale
Selective mutism is an anxiety disorder characterized by a consistent failure to speak in specific social situations in which there is an expectation for speaking, despite speaking in other situations. This aligns with the child’s symptoms of not being able to speak during class and other social situations.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached. The child’s symptoms do not indicate a fear of separation, but rather a fear of speaking in social situations.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?

Correct Answer is B

Explanation

A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

Correct Answer is C

Explanation

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