A client with a phobia is experiencing physiological symptoms such as palpitations, sweating, and shortness of breath. These symptoms are most likely due to:
Neurochemical imbalances in the brain.
Negative self-beliefs and cognitive distortions.
Traumatic experiences and learned associations.
Activation of the autonomic nervous system.
The Correct Answer is D
Choice A rationale:
Neurochemical imbalances in the brain are more commonly associated with mood disorders like depression and anxiety disorders in general, rather than being a specific cause of the physiological symptoms seen in phobias.
Choice B rationale:
Negative self-beliefs and cognitive distortions are central to anxiety disorders like generalized anxiety disorder and social anxiety disorder, but they don't directly explain the acute physiological symptoms like palpitations and sweating seen in phobias.
Choice C rationale:
Traumatic experiences and learned associations are relevant to post-traumatic stress disorder (PTSD) and other anxiety disorders. However, they are not the primary cause of physiological symptoms in specific phobias.
Choice D rationale:
The correct answer. Specific phobias trigger a "fight or flight" response through the autonomic nervous system, leading to physiological symptoms like palpitations, sweating, and shortness of breath. This response is an evolutionary adaptation designed to prepare the body to respond to threats.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Social phobia is a fear of a particular stimulus that triggers an excessive and unreasonable response. This description aligns more closely with the definition of a specific phobia rather than social phobia. Specific phobias involve a fear of specific objects or situations, not general social interactions.
Choice B rationale:
Social phobia is a fear of being judged, criticized, or embarrassed in social or performance situations. This is the correct answer. Social phobia, also known as social anxiety disorder, is characterized by an intense fear of negative evaluation in social settings. Individuals with social phobia are often excessively self-conscious and fear humiliation or embarrassment when interacting with others.
Choice C rationale:
Social phobia is a fear of being in places or situations from which escape might be difficult or embarrassing. This description aligns with agoraphobia, which involves a fear of situations from which escape may be challenging, rather than social phobia.
Choice D rationale:
Social phobia is a fear of a specific object, situation, or activity that poses little or no actual danger. This description aligns more with the definition of a specific phobia, where the fear is often triggered by a specific object or situation that poses limited real danger.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement reflects cognitive distortion, where their thoughts are irrational and exaggerated. The client's intense fear of bad things happening during a flight and their inability to imagine being on a plane without fear are examples of distorted thinking patterns.
Choice B rationale:
Maladaptive coping refers to using ineffective strategies to deal with stress or anxiety. While the client's fear of flying is indeed a maladaptive response, the statement doesn't directly describe coping mechanisms.
Choice C rationale:
Rational thinking involves logical and balanced thoughts. The client's statement does not reflect rational thinking, as their fear is intense and irrational.
Choice D rationale:
Effective self-management involves using appropriate strategies to manage one's fears or anxieties. The client's statement does not indicate effective self-management, as their fear seems to be controlling their emotions and thoughts rather than managing them.
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