A nurse is planning care for a client with a phobia. Which nursing intervention is appropriate for this client?

Choice A rationale:

This response is appropriate as it aligns with the principles of exposure therapy. Exposure therapy involves gradually confronting feared situations to reduce anxiety over time. By encouraging the client to face their fears and expose themselves to anxiety-provoking situations in a controlled manner, they can learn that their anxiety decreases over time.

Choice B rationale:

This response is counterproductive and not recommended. Avoiding situations that trigger anxiety can actually reinforce the fear and make it more difficult for the client to cope with their agoraphobia. Avoidance prevents the client from learning that their fear is manageable.

Choice C rationale:

While distraction techniques can be helpful for managing anxiety in the moment, they do not address the underlying fear associated with agoraphobia. Encouraging distraction as the primary coping strategy might hinder the client's progress in overcoming their fear.

Choice D rationale:

This response promotes avoidance, which is not a recommended approach in treating anxiety disorders like agoraphobia. Avoiding situations altogether can worsen the fear and limit the client's ability to engage in normal activities.

Choice A rationale:

Specific phobias are fears of a particular stimulus that trigger an excessive and unreasonable response. In specific phobias, individuals experience intense fear and anxiety in response to specific objects or situations, such as heights, animals, or certain activities. The fear is often recognized as excessive or unreasonable, but the person feels powerless to control the anxiety. This is consistent with the definition of specific phobias, where the fear is focused on a specific trigger.

Choice B rationale:

This choice describes social anxiety disorder (social phobia), not specific phobias. Social phobia involves a fear of being judged, criticized, or embarrassed in social or performance situations. People with social phobia tend to avoid such situations or endure them with intense distress. It's a different type of anxiety disorder with a focus on social interactions rather than specific triggers.

Choice C rationale:

This choice refers to agoraphobia, not specific phobias. Agoraphobia involves a fear of being in places or situations from which escape might be difficult or embarrassing. People with agoraphobia often avoid situations like crowded places or open spaces due to fear of having a panic attack and not being able to escape.

Choice D rationale:

This choice incorrectly defines specific phobias. Specific phobias are characterized by an intense fear of a particular object, situation, or activity that may pose little or no actual danger. The fear is irrational and disproportionate to the threat posed by the trigger. This is why Choice A is the correct answer, as it accurately describes specific phobias.