A nurse is assessing a client with a phobia and notes that the client actively avoids certain situations and endures them with intense fear or anxiety. The nurse recognizes that this behavior is characteristic of:
Specific Phobia.
Social Phobia.
Agoraphobia.
Panic Disorder.
The Correct Answer is A
Choice A rationale:
Specific Phobia is characterized by the active avoidance of certain situations or objects accompanied by intense fear or anxiety. Individuals with specific phobias tend to go to great lengths to avoid the feared stimulus due to the overwhelming distress it causes. This aligns with the behavior described in the question.
Choice B rationale:
Social Phobia involves the fear or avoidance of social situations due to the perceived threat of negative evaluation by others. It doesn't necessarily involve specific situations or objects like the client's behavior in the question.
Choice C rationale:
Agoraphobia involves the fear of situations where escape might be difficult or help might not be available in the event of developing incapacitating symptoms. This doesn't fully match the behavior described, as the client is not expressing fear related to difficulty escaping or lack of available help.
Choice D rationale:
Panic Disorder is characterized by recurrent panic attacks and the persistent worry about future attacks. While panic attacks can be triggered by specific phobias, the avoidance behavior and the focus on certain situations are more indicative of 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:
This choice inaccurately describes specific phobias, not social phobia. Specific phobias are centered around specific triggers, while social phobia involves a fear of being negatively evaluated in social or performance situations.
Choice B rationale:
Social phobia, also known as social anxiety disorder, is indeed characterized by a fear of being judged, criticized, or embarrassed in social or performance situations. This fear often leads individuals to avoid social interactions or endure them with significant distress.
Choice C rationale:
This choice relates to agoraphobia, not social phobia. Agoraphobia involves the fear of being in situations from which escape might be difficult or embarrassing, such as crowded places or public transportation.
Choice D rationale:
This choice inaccurately characterizes specific phobias, not social phobia. Specific phobias are focused on particular triggers and are not related to a fear of a specific object, situation, or activity that poses little or no actual danger.
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