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 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 C
Explanation
Choice A rationale:
The client reporting decreased fear and anxiety related to phobias (Choice A) is a subjective outcome that might not accurately reflect the effectiveness of the nursing interventions. It relies solely on the client's self-report and might not provide an objective measure of improvement.
Choice B rationale:
The client demonstrating increased avoidance behavior (Choice B) is not an outcome aimed at reducing fear and anxiety. Increased avoidance behavior would actually indicate a worsening of the phobia-related symptoms, as the client is avoiding the feared stimulus more.
Choice C rationale:
The client engaging in exposure therapy without excessive distress (Choice C) is a desired outcome for interventions targeting phobias. Exposure therapy involves gradually exposing the client to the feared stimulus in a controlled manner. If the client can tolerate exposure without excessive distress, it indicates a positive response to the intervention and a reduction in fear and anxiety over time.
Choice D rationale:
The client applying cognitive-behavioral techniques ineffectively (Choice D) is not a desirable outcome. The goal of cognitive-behavioral techniques is to equip the client with effective coping strategies to manage their phobias. If the client is applying these techniques ineffectively, it indicates a need for further intervention or adjustment of the therapeutic approach.
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