A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Avoid the feared object whenever possible

Face the feared object without supportive assistance

State that the fear of the object is unrealistic and inappropriate

Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Answer and Explanation

The Correct Answer is D

D. Relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, can help reduce physiological arousal and anxiety symptoms associated with thoughts of the feared object.

A. Avoidance is a common coping mechanism for individuals with specific phobias. While avoidance may provide temporary relief from anxiety, it does not address the underlying fear and can perpetuate the phobia over time.

B. Facing the feared object without any support or guidance may be overwhelming and could potentially exacerbate anxiety rather than promote self-control.

C. While cognitive restructuring and challenging irrational beliefs about the feared object are important components of cognitive-behavioral therapy for specific phobias, simply stating that the fear is unrealistic and inappropriate may not be sufficient for anxiety self-control.

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Correct Answer is D

Explanation

D. Remaining with the client provides support and reassurance during a period of agitation and restlessness. The presence of the nurse can help the client feel safe and supported, and it allows the nurse to assess the client's condition closely and intervene as needed.

A. While administering a PRN (as needed) sleeping medication may be considered in some situations, it is not the first-line intervention when a client is experiencing agitation and restlessness.

B. Encouraging the client to return to bed may be appropriate if they are willing and able to do so. However, if the client is agitated and pacing the floor, they may not feel comfortable or able to go back to bed.

C. Exploring alternatives to pacing the floor involves assessing the client's needs and preferences and identifying activities or strategies that may help alleviate agitation and promote relaxation. However, proper observation of the client behavior should be prioritized.

A. "You really need to follow the rules of the unit and get out of bed." B. "Let me know when you feel ready to get up." C. "You should rest until you feel able to join the group." D. "I will help you get ready and then you can rest after activities."

Correct Answer is D

Explanation

D. By offering assistance with getting ready and framing participation in activities as a manageable task, the nurse can help the client overcome feelings of inertia and initiate engagement. It acknowledges the client's current difficulties while providing gentle encouragement to participate in the unit's programs.

A. This response may come across as dismissive of the client's feelings and struggles. It may also increase feelings of guilt or inadequacy in the client, potentially worsening their depressive symptoms.

B. It offers support without pressure and allows the client to take the initiative when they feel comfortable to engage in activities. However, it may not provide enough encouragement or assistance for the client to overcome their depressive symptoms and initiate activity.

C. Encouraging prolonged withdrawal from activities without offering support or motivation to engage may contribute to further isolation and exacerbate depressive symptoms.

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A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

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