A nurse is planning care for a client with a phobia. Which nursing intervention is appropriate for this client?
Encouraging the client to face their fear gradually.
Administering benzodiazepines as needed for acute anxiety.
Providing psychoeducation about the causes and effects of phobias.
Teaching the client relaxation techniques to manage anxiety.
The Correct Answer is A
Choice A rationale:
Encouraging the client to face their fear gradually is a cornerstone of exposure therapy, a proven psychological approach for treating phobias. Gradual exposure helps the client confront their fears in a controlled manner, allowing them to build tolerance and reduce anxiety over time.
Choice B rationale:
Administering benzodiazepines as needed for acute anxiety (choice B) is not the first-line intervention for treating phobias. While benzodiazepines can provide rapid relief from acute anxiety, they do not address the underlying phobia and can lead to dependence if used excessively.
Choice C rationale:
Providing psychoeducation about the causes and effects of phobias is valuable, but it alone might not be as effective as exposure therapy or other evidence-based treatments. Educating the client about the nature of phobias can complement their treatment plan.
Choice D rationale:
Teaching the client relaxation techniques to manage anxiety is beneficial but might not be as effective as exposure therapy for addressing phobias directly. Relaxation techniques can be useful in managing general anxiety, but specific phobias are best treated with exposure-based interventions.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
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.
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