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

Recommending the client obtain a part-time job may not be the most effective intervention for an adolescent experiencing depression due to a recent move. While employment can provide a sense of purpose and routine, it may also add additional stress and responsibilities that could potentially exacerbate the client’s depression.
Choice B rationale
Scheduling an appointment with a school-based counselor is the most appropriate intervention. School-based counselors are trained to provide emotional support and therapeutic interventions to students dealing with various issues, including depression. They can provide a safe space for the client to express their feelings and can help them develop coping strategies to manage their depression.
Choice C rationale
Arranging a visit with a neurologist is not the most appropriate first intervention. While neurologists can provide treatment for neurological conditions, they are not typically the first point of contact for managing depression.
Choice D rationale
Encouraging the client to engage in more physical activity can be beneficial as exercise has been shown to have a positive effect on mood. However, it may not be sufficient as the sole intervention for an adolescent experiencing depression

A. A young adult aged between 18 to 25. B. A patient who has recently lost their job but had health insurance from their employer. C. A patient whose income is below the poverty line. D. A patient who has health insurance but needs a supplemental policy.

Correct Answer is C

Explanation

Choice A rationale
While young adults aged between 18 to 25 can be eligible for Medicaid, age alone is not a determining factor. Eligibility is primarily based on income level, family size, disability, and other factors.
Choice B rationale
Losing a job and previously having health insurance from an employer does not automatically qualify someone for Medicaid. While some individuals may qualify for Medicaid after losing their job, it largely depends on their current income, family size, and state regulations.
Choice C rationale
Medicaid is a joint federal and state program that provides health coverage to people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities. Therefore, a patient whose income is below the poverty line would likely be eligible for Medicaid.

Choice D rationale
Having health insurance but needing a supplemental policy does not necessarily qualify someone for Medicaid. Medicaid is intended to provide health coverage for low-income individuals who meet specific eligibility requirements.

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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 school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Correct Answer is B

Explanation

A nurse is examining the records of several patients. Which patient should the nurse identify as eligible for Medicaid coverage?

Correct Answer is C

Explanation

A nurse is participating in a hospital committee to discuss the rationing of care and resources during a pandemic. Which of the following behaviors should the nurse identify as important in providing ethical and empathetic nursing care?

A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault.The parent mentions that their child has been experimenting with drugs. Why would they be doing this?

A nurse is caring for a patient who has returned from a bereavement support group. Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?