A client with a phobia of flying in airplanes expresses, "I'm so scared that something bad will happen during the flight. I can't even imagine being on a plane without feeling intense fear." This statement is an example of:
Cognitive distortion.
Maladaptive coping.
Rational thinking.
Effective self-management.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement "This medication will help regulate my mood and anxiety" is accurate. Antidepressants are commonly prescribed for mood and anxiety disorders, including phobias. They work by affecting neurotransmitters in the brain to improve mood and reduce anxiety.
Choice B rationale:
The statement "I should expect to see immediate results after taking this medication" is incorrect. This suggests a misunderstanding about the timeline for antidepressant effectiveness. Antidepressants typically take several weeks to show noticeable effects. It's important to educate the client that gradual improvement over time is expected.
Choice C rationale:
The statement "I may experience side effects such as nausea and drowsiness" is accurate. Many antidepressants can indeed cause side effects like nausea, drowsiness, and other gastrointestinal symptoms, especially when starting the medication. Educating the client about potential side effects promotes informed decision-making.
Choice D rationale:
The statement "It's important to take this medication consistently as prescribed" is accurate. Consistent adherence to the prescribed medication regimen is crucial for the effectiveness of antidepressants. Missing doses or stopping the medication abruptly can lead to discontinuation symptoms and a potential relapse of symptoms.
Correct Answer is D
Explanation
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.
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