A nurse is assessing a patient with a specific phobia. Which of the following statements by the patient indicates a specific phobia?

Choice A rationale:

Psychoeducation (Choice A) involves providing the client with information about their condition, treatment options, and coping strategies. It can help the client understand their phobia better and empower them to take an active role in managing their fear.

Choice B rationale:

Cognitive therapy (Choice B) focuses on identifying and challenging irrational thoughts and beliefs related to the phobia. By changing thought patterns, clients can learn to respond to their phobic triggers in a more rational and less anxiety-provoking manner.

Choice C rationale:

Behavioral therapy (Choice C), including exposure therapy, is a cornerstone of phobia treatment. It involves gradually exposing the client to the feared stimulus in a controlled manner, helping them learn that their anxiety decreases over time.

Choice D rationale:

Relaxation therapy (Choice D) teaches clients relaxation techniques such as deep breathing, progressive muscle relaxation, and meditation. These techniques can help reduce overall anxiety levels and provide a sense of control in anxiety-provoking situations.

Choice E rationale:

All of the above (Choice E) is the correct answer because each of the listed non-pharmacological therapies (psychoeducation, cognitive therapy, behavioral therapy, relaxation therapy) plays a valuable role in helping clients cope with their phobias. They can be used in combination to provide comprehensive support for the client's needs.

Choice B rationale:

The client's intense fear of embarrassing themselves in front of others and the specific fear related to giving a presentation are indicative of social phobia (social anxiety disorder) Social phobia involves an excessive fear of social situations where the individual fears negative evaluation or judgment by others, leading to avoidance of such situations.

Choice A rationale:

While the client's fear is related to public speaking, the emphasis is on the fear of embarrassment and negative evaluation rather than a fear of a specific object or situation, which aligns more with social phobia.

Choice C rationale:

Agoraphobia does not align with the client's fear of public speaking. Agoraphobia involves the fear of situations where escape might be difficult or help might not be available if a panic attack occurs, often leading to avoidance of various places or situations.

Choice D rationale:

Panic disorder involves recurrent and unexpected panic attacks, which are not explicitly mentioned in the client's statement. The focus of the client's fear is on the social aspect of giving a presentation rather than on panic attacks.