A 28-year-old client with a diagnosis of Avoidant Personality Disorder tells the nurse, "I want to make friends. I'm too afraid they'll laugh at me or think I'm weak." Which nursing intervention is most appropriate to help this client begin developing healthier interpersonal relationships?
Encourage the client to explore childhood experiences that may have caused these fears.
Reassure the client that everyone feels insecure sometimes and they are overthinking the situation.
Advise the client to start attending large events to desensitize themselves to rejection.
Assist the client in identifying and challenging negative self-beliefs through gradual social exposure.
The Correct Answer is D
Choice A reason: While exploring childhood experiences may provide insight into the origins of fear, this approach does not directly help the client build the confidence and skills needed to engage socially in the present. It may keep the focus on the past rather than promoting immediate coping strategies.
Choice B reason: Offering reassurance without addressing the underlying cognitive distortions minimizes the client’s distress and may come across as dismissive. This response fails to provide practical tools for overcoming fear of rejection.
Choice C reason: Encouraging participation in large social gatherings too quickly can overwhelm a client with avoidant traits. Such exposure without proper preparation and gradual buildup is more likely to increase anxiety and avoidance rather than reduce it.
Choice D reason: Supporting the client in recognizing and challenging self-defeating beliefs, while practicing gradual social exposure, is evidence-based and therapeutic. This method uses cognitive-behavioral strategies that are effective in reducing avoidance, building self-esteem, and encouraging healthier relationships.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This describes tactile hallucinations, a false sensory experience, not a delusion of reference.
Choice B reason: This reflects a persecutory delusion, where the client believes they are being harmed or targeted, not a delusion of reference.
Choice C reason: This illustrates an auditory hallucination with command-type voices, not a delusion of reference.
Choice D reason: Believing that unrelated environmental cues (like a song) carry special, hidden meaning specifically for the client is the hallmark of a delusion of reference.
Correct Answer is D
Explanation
Choice A reason: While exploring childhood experiences may provide insight into the origins of fear, this approach does not directly help the client build the confidence and skills needed to engage socially in the present. It may keep the focus on the past rather than promoting immediate coping strategies.
Choice B reason: Offering reassurance without addressing the underlying cognitive distortions minimizes the client’s distress and may come across as dismissive. This response fails to provide practical tools for overcoming fear of rejection.
Choice C reason: Encouraging participation in large social gatherings too quickly can overwhelm a client with avoidant traits. Such exposure without proper preparation and gradual buildup is more likely to increase anxiety and avoidance rather than reduce it.
Choice D reason: Supporting the client in recognizing and challenging self-defeating beliefs, while practicing gradual social exposure, is evidence-based and therapeutic. This method uses cognitive-behavioral strategies that are effective in reducing avoidance, building self-esteem, and encouraging healthier relationships.
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