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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Related Questions
Correct Answer is A
Explanation
A. Walking with the client at a gradually slower pace can provide support and reassurance while helping to regulate the client's activity level. This approach acknowledges the client's distress and offers physical companionship during a challenging time.
B. Instructing the client to sit down and stop pacing may be perceived as confrontational or dismissive of the client's distress. For individuals with generalized anxiety disorder, pacing often serves as a coping mechanism to manage feelings of agitation or restlessness.
C. While ensuring the client's safety is important, forcibly removing them from the corridor may exacerbate feelings of distress or agitation. It is essential to respect the client's autonomy and use interventions that promote de-escalation and emotional support.
D. While allowing the client to pace alone may initially seem like a non-intrusive approach, it may not address the client's underlying emotional distress or provide therapeutic support.
Correct Answer is D
Explanation
D. The constant repetitive cleaning behavior observed in the client with OCD is likely an attempt to decrease anxiety associated with obsessive thoughts or fears of contamination.
A. While individuals with OCD may engage in compulsive behaviors to gain a sense of control over their environment, the primary motivation behind these behaviors is not to manipulate others.
B. While engaging in repetitive cleaning behaviors may occupy the client's time and attention, the primary purpose of these behaviors is not necessarily to decrease the time available for interaction with people.
C. While individuals with OCD may experience distress or anxiety related to their obsessions and may engage in compulsive behaviors to reduce these feelings, the goal is typically to alleviate anxiety
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