A nurse is assessing a client with a phobia and asks, "What specific object or situation causes you the most fear or anxiety?" The client responds, "I'm terrified of flying in airplanes. Every time I even think about getting on a plane, I start to panic." Based on the client's response, the nurse recognizes that the client is experiencing:
Specific Phobia.
Social Phobia.
Agoraphobia.
Panic Disorder.
The Correct Answer is A
Choice A rationale:
The client's fear of flying in airplanes and the intense panic response when even thinking about it are indicative of a specific phobia. Specific phobias involve an intense and irrational fear of a specific object, situation, or activity. In this case, the fear of flying is specific and triggers a significant anxiety reaction.
Choice B rationale:
Social phobia (also known as social anxiety disorder) involves an excessive fear of social situations where the individual fears being scrutinized or judged by others. This fear extends beyond a specific object or situation, which is not the case in this scenario.
Choice C rationale:
Agoraphobia involves a fear of situations where escape might be difficult or help might not be available if a panic attack occurs. This fear often leads to avoidance of various places or situations, such as crowded spaces. The client's fear of flying is not characteristic of agoraphobia.
Choice D rationale:
Panic disorder is characterized by recurrent and unexpected panic attacks, often accompanied by a fear of having additional attacks. While the client does experience panic symptoms related to the fear of flying, the primary issue is the specific fear of flying itself, suggesting a specific phobia rather than panic disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Antipsychotics are not commonly prescribed to manage anxiety and fear associated with phobias. Antipsychotics are primarily used to treat psychotic disorders, such as schizophrenia, and are not the first-line treatment for anxiety-related disorders.
Choice B rationale:
Antihistamines are not commonly prescribed for managing anxiety and fear associated with phobias. While some sedating antihistamines might have a calming effect, they are not the primary choice for treating anxiety. Antihistamines are more commonly used for allergies and sleep disturbances.
Choice C rationale:
Anticonvulsants are not typically prescribed for managing anxiety and fear associated with phobias. Anticonvulsants are used to treat conditions such as epilepsy and mood disorders like bipolar disorder, but they are not the first-line treatment for specific phobias.
Choice D rationale:
Antidepressants are commonly prescribed to manage anxiety and fear associated with phobias. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used antidepressants that can effectively reduce the symptoms of anxiety and phobias by influencing neurotransmitter levels in the brain. These medications help regulate mood and reduce excessive anxiety associated with phobias.
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.
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