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
A child expressing that their parent is mean because they can’t have a dog does not constitute an adverse childhood experience (ACE). This is a common situation where a child might be upset due to not getting what they want, but it does not indicate any form of abuse, neglect, or household dysfunction that are typically associated with ACEs.
Choice B rationale
Failing an algebra test is a part of the academic challenges that students face and does not constitute an ACE. While it can be a source of stress for the child, it is not an indicator of abuse, neglect, or household dysfunction.
Choice C rationale
Forgetting lunch at home is a common occurrence among children and does not indicate an ACE. It could be a simple oversight or a result of a chaotic morning routine. It does not suggest abuse, neglect, or household dysfunction.
Choice D rationale
Having a parent who is in prison is considered an ACE. This situation falls under the category of household dysfunction. The incarceration of a parent can lead to a loss of financial stability, emotional support, and the social stigma associated with it can lead to feelings of shame and isolation for the child.
Correct Answer is A
Explanation
Choice A rationale
Quality education does not typically include coverage for medical expenses. Education and healthcare are generally considered separate entities, with different funding and administration.
Choice B rationale
Individuals who attain a quality education are indeed more likely to secure a job that pays a living wage. Education often provides the skills and knowledge necessary for higher-paying
jobs, which can lead to improved health outcomes through increased access to healthcare, healthier lifestyles, and better living conditions.
Choice C rationale
While technology and virtual healthcare services are increasingly being integrated into various aspects of society, quality education does not inherently provide increased access to virtual visits with primary care physicians.
Choice D rationale
The requirement to purchase healthy lunches at school is not a characteristic of quality education. While nutrition is important for overall health and academic performance, it is not a defining factor of the quality of education.
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