A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
"I will join an online book club."
"I should avoid entering elevators and other closed spaces."
"I plan to sit on a park bench for a few minutes each day."
"I can try participating in group therapy every week."
The Correct Answer is C
C. This statement demonstrates an understanding of exposure therapy, a key component of agoraphobia treatment. Exposure therapy involves gradually facing feared situations or environments to reduce anxiety and desensitize the individual to their triggers.
A. While joining an online book club is a positive social activity, it does not directly address the fear associated with agoraphobia.
B. This statement reflects avoidance behavior, which is common in agoraphobia. However, avoiding
elevators and closed spaces perpetuates the fear and limits the client’s ability to function.
D. Group therapy can be beneficial for clients with agoraphobia. It provides social support, coping strategies, and exposure to others. However, this choice does not directly address the fear of open spaces.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Children and adolescents with depression, especially when initiating or adjusting antidepressant medications like SSRIs, are at an increased risk of suicidal ideation and behavior. Therefore, it is crucial to prioritize the safety of the client by implementing suicide precautions, which may include close observation, removing potential means of self-harm, and involving the client in structured activities under supervision.
A. Monitoring food intake and eliminating potential sources of tyramine are considerations for clients taking monoamine oxidase inhibitors (MAOIs), another class of antidepressant medications, due to the risk of hypertensive crisis.
B. Weight loss and difficulty sleeping are potential side effects of SSRIs that may occur, particularly during the initial phases of treatment. However, suicide precautions are a priority
C. While SSRIs may cause headaches or migraines as potential side effects, monitoring for migraines specifically would not typically be a priority
Correct Answer is D
Explanation
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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