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 B

Explanation

B. This behavior may be concerning if it indicates a lack of autonomy or control over one's own communication. It could suggest overprotective or controlling behavior by the parents, which may be indicative of emotional abuse or neglect.

A. Frequent use of the call light may indicate a need for assistance or discomfort but does not necessarily indicate abuse. It could be related to the child's medical condition, anxiety, or other factors.

C. Childhood obesity itself is not necessarily indicative of abuse. It can result from a variety of factors, including genetics, dietary habits, and lifestyle factors.

D. Frequent visitors alone do not necessarily indicate abuse. However, it's important to consider the nature of the visitors' relationship with the child and whether they may pose a risk of harm.

A. Provide a structured activity schedule for the client. B. Identify precipitating factors for ritualistic behaviors. C. Instruct the client on relaxation techniques for use when anxiety increases: D. Discuss alternative coping strategies with the client.

Correct Answer is B

Explanation

B. Understanding the precipitating factors is essential for developing effective treatment strategies tailored to the individual's specific needs. By identifying triggers, the nurse can work with the client to develop coping mechanisms and interventions to manage these triggers and reduce the frequency or intensity of obsessive-compulsive symptoms.

A. Providing a structured activity schedule can be helpful for individuals with OCD as it can promote a sense of routine and predictability. However, while structuring activities is beneficial, it may not address the immediate needs of the client upon admission.

C. Teaching relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can be beneficial for managing anxiety and stress associated with OCD symptoms. However, like option A, while relaxation techniques are important, they may not address the immediate needs of the client upon admission.

D. Exploring alternative coping strategies with the client involves brainstorming and discussing various techniques or approaches to managing obsessive-compulsive symptoms. However, identification of triggers is a priority.

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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

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Correct Answer is B

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Correct Answer is B

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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?