A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

Choice A reason: Having a physical disability can be considered an adverse childhood experience because it may expose the child to stress, stigma, or social isolation. These factors can increase vulnerability to anxiety disorders later in life. Choice B reason: A strong social support system is protective, not adverse. Supportive families buffer against stress and promote resilience, reducing the risk of anxiety disorders. Choice C reason: Caregivers with steady employment provide stability and security, which are protective factors. This reduces stress and supports healthy development. Choice D reason: Performing well in school is a positive experience that builds confidence and resilience. It is not considered an adverse childhood experience.