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 D rationale:
The individual fears or avoids certain situations due to thoughts of difficulty escaping or lack of available help in case of developing incapacitating symptoms (Choice D) is a characteristic of agoraphobia. Individuals with agoraphobia often fear being in situations where escape might be challenging or help might not be readily available if they experience intense anxiety or panic symptoms.
Choice A rationale:
The fear or anxiety is not better explained by another mental disorder (Choice A) is a general criterion for diagnosing anxiety disorders, but it doesn't specifically relate to agoraphobia.
Choice B rationale:
The individual fears or avoids social situations due to the perceived threat of negative evaluation (Choice B) is more indicative of social anxiety disorder, not agoraphobia.
Choice C rationale:
The fear or anxiety is persistent, typically lasting for 6 months or more (Choice C) is a general criterion for diagnosing anxiety disorders, but it doesn't uniquely characterize agoraphobia.
Correct Answer is C
Explanation
Choice C rationale:
Collaborating with the client to set realistic and achievable goals for overcoming phobias (Choice C) is an example of a nursing intervention for phobias. This empowers the client to actively participate in their treatment, fostering a sense of control and motivation to confront their fears.
Choice A rationale:
Providing a safe and supportive environment for the client (Choice A) is important, but it is a more general intervention that doesn't specifically address the process of overcoming phobias.
Choice B rationale:
Encouraging the client to avoid situations that trigger phobic responses (Choice B) is counterproductive, as mentioned earlier. It reinforces avoidance behaviors rather than helping the client confront their fears.
Choice D rationale:
Referring the client to other health care professionals as needed (Choice D) is a potential step in the treatment process, but it doesn't exemplify a direct nursing intervention for phobias. It's more about coordinating care if specialized help is required.
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