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This option is incorrect because it dismisses the parent’s concerns and minimizes the adolescent’s behavior. While some risk-taking can be normal in adolescence, the behaviors described—drug use, ignoring curfew, and associating with a rough crowd—are not typical responses and are concerning, especially in the context of posttraumatic stress disorder. Minimizing these behaviors could prevent the parent from receiving appropriate guidance and support, and it fails to acknowledge the impact of trauma on the adolescent’s coping mechanisms.

This option is also incorrect because it shifts the focus away from the adolescent’s trauma and instead places emphasis on family rules and comparisons with siblings. While family dynamics and rules are important, this response does not validate the parent’s concern or provide insight into why the adolescent is engaging in reckless behaviors. It risks making the parent feel blamed or judged rather than supported, and it does not address the underlying issue of trauma-related behavioral changes.

This option is incorrect because, although it shows empathy and attempts to involve the parent in problem-solving, it does not provide an explanation for the adolescent’s behavior. The parent specifically asked “Why would they be doing this?” and this response does not answer that question. While prioritizing behaviors for intervention is useful, the immediate need is to help the parent understand the link between trauma and reckless actions. Without that explanation, the parent may continue to feel confused and unsupported.

This statement describes dissociation triggered by childhood trauma, but it reflects a chronic condition more consistent with posttraumatic stress disorder (PTSD) rather than acute stress disorder. Acute stress disorder develops shortly after a traumatic event and is time-limited, whereas this statement suggests long-standing trauma responses.

This statement describes avoidance behavior that has persisted for 2 years following a traumatic event. Such long-term symptoms are characteristic of PTSD, not acute stress disorder. Acute stress disorder occurs within 3 days to 4 weeks after trauma, so this timeline does not fit.

Frequent flashbacks related to childhood abuse represent PTSD symptoms. The chronic nature of the flashbacks indicates a long-term disorder rather than the short-term presentation of acute stress disorder.

Dry mouth is a common side effect of many antipsychotics due to their anticholinergic properties, but it is not considered a serious adverse effect of clozapine. While it may cause discomfort, it does not pose significant health risks compared to other potential complications.

Hypoglycemia is not a typical adverse effect of clozapine. Clozapine is more commonly associated with metabolic syndrome, including weight gain, hyperglycemia, and dyslipidemia, rather than low blood sugar. Therefore, this option is incorrect.

Pain in the great toes is not a recognized adverse effect of clozapine. This symptom could suggest gout or another musculoskeletal condition, but it is unrelated to clozapine therapy.

Turning on lights and opening windows may not be helpful and could overstimulate the client. Anxiety attacks require a calm, controlled environment rather than additional sensory input.

Turning on stereo music is inappropriate because it can increase stimulation and worsen anxiety. Clients experiencing panic attacks need a quiet, supportive environment.

Leaving the client alone is unsafe. Clients in acute anxiety may feel abandoned, which can intensify their panic and increase the risk of harm. The nurse’s presence is essential for reassurance and monitoring.

This response dismisses the client’s delusion and does not provide therapeutic support. Minimizing the client’s concern can increase mistrust and resistance to treatment.

While encouraging therapy attendance is appropriate, this response does not address the client’s immediate concern and may come across as dismissive. It lacks the supportive element of walking with the client.

Asking the client to explain the delusion can reinforce it and is not therapeutic. Nurses should avoid challenging or confronting delusions directly, as this can increase defensiveness and agitation.

Preoccupation with washing and folding clothes may suggest obsessive-compulsive tendencies, but it is not a positive symptom of schizophrenia. Positive symptoms involve the addition of abnormal behaviors such as hallucinations or disorganized speech.

Recurrent thoughts of past trauma are more consistent with posttraumatic stress disorder (PTSD), not schizophrenia.

Avoiding interactions with staff and peers is a negative symptom of schizophrenia, reflecting social withdrawal. Positive symptoms involve the presence of abnormal behaviors, not the absence of normal ones.

While family history of anxiety disorders is a risk factor, positive childhood experiences are protective and reduce the likelihood of developing an anxiety disorder.

Lower educational attainment can be associated with increased stress and limited coping resources, but it is not the strongest risk factor compared to genetic and environmental influences.

Family history of cancer and unemployment may contribute to stress, but they are not direct predictors of anxiety disorders.