A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

B. Panic-level anxiety is characterized by intense and overwhelming feelings of fear and apprehension. Physical symptoms often accompany this level of anxiety, and shakiness or tremors are common manifestations. The individual may experience trembling or shaking of the hands, voice, or other parts of the body due to heightened physiological arousal.

A. Voice tremors can occur in individuals experiencing anxiety, particularly when they are feeling highly stressed or nervous. However, shakiness or trembling in the body is more characteristic of panic level anxiety.

C. Depersonalization involves feelings of detachment from oneself or one's surroundings, as if observing oneself from outside the body or feeling disconnected from reality.

D Poor concentration or difficulty focusing can occur in individuals experiencing anxiety, including panic level anxiety. However, it is more of a cognitive symptom rather than a physical manifestation such as shakiness or tremors.

B. Exposure to substances at a young age, especially during periods of brain development, increases the risk of addiction. Adolescents and young adults are particularly vulnerable to the effects of drugs and alcohol because their brains are still developing, particularly in areas related to decision-making, impulse control, and risk assessment.

A. The availability of medical insurance coverage for treatment does not directly increase the potential for addiction.

C. Cognitive deficits or vulnerabilities may predispose individuals to addiction, such as impulsivity or difficulty regulating emotions but they are not inherent characteristics of the brain.

D. Addiction can occur at any age, depending on various factors such as genetic predisposition, environmental influences, and individual vulnerabilities.