A nurse is providing education to a client with social phobia. Which of the following statements accurately describes social phobia?
Social phobia is a fear of a particular stimulus that triggers an excessive and unreasonable response.
Social phobia is a fear of being judged, criticized, or embarrassed in social or performance situations.
Social phobia is a fear of being in places or situations from which escape might be difficult or embarrassing.
Social phobia is a fear of a specific object, situation, or activity that poses little or no actual danger.
The Correct Answer is B
Choice A rationale:
Social phobia is a fear of a particular stimulus that triggers an excessive and unreasonable response. This description aligns more closely with the definition of a specific phobia rather than social phobia. Specific phobias involve a fear of specific objects or situations, not general social interactions.
Choice B rationale:
Social phobia is a fear of being judged, criticized, or embarrassed in social or performance situations. This is the correct answer. Social phobia, also known as social anxiety disorder, is characterized by an intense fear of negative evaluation in social settings. Individuals with social phobia are often excessively self-conscious and fear humiliation or embarrassment when interacting with others.
Choice C rationale:
Social phobia is a fear of being in places or situations from which escape might be difficult or embarrassing. This description aligns with agoraphobia, which involves a fear of situations from which escape may be challenging, rather than social phobia.
Choice D rationale:
Social phobia is a fear of a specific object, situation, or activity that poses little or no actual danger. This description aligns more with the definition of a specific phobia, where the fear is often triggered by a specific object or situation that poses limited real danger.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Antipsychotics are not commonly prescribed to manage anxiety and fear associated with phobias. Antipsychotics are primarily used to treat psychotic disorders, such as schizophrenia, and are not the first-line treatment for anxiety-related disorders.
Choice B rationale:
Antihistamines are not commonly prescribed for managing anxiety and fear associated with phobias. While some sedating antihistamines might have a calming effect, they are not the primary choice for treating anxiety. Antihistamines are more commonly used for allergies and sleep disturbances.
Choice C rationale:
Anticonvulsants are not typically prescribed for managing anxiety and fear associated with phobias. Anticonvulsants are used to treat conditions such as epilepsy and mood disorders like bipolar disorder, but they are not the first-line treatment for specific phobias.
Choice D rationale:
Antidepressants are commonly prescribed to manage anxiety and fear associated with phobias. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used antidepressants that can effectively reduce the symptoms of anxiety and phobias by influencing neurotransmitter levels in the brain. These medications help regulate mood and reduce excessive anxiety associated with phobias.
Correct Answer is D
Explanation
Choice A rationale:
Neurochemical imbalances in the brain are more commonly associated with mood disorders like depression and anxiety disorders in general, rather than being a specific cause of the physiological symptoms seen in phobias.
Choice B rationale:
Negative self-beliefs and cognitive distortions are central to anxiety disorders like generalized anxiety disorder and social anxiety disorder, but they don't directly explain the acute physiological symptoms like palpitations and sweating seen in phobias.
Choice C rationale:
Traumatic experiences and learned associations are relevant to post-traumatic stress disorder (PTSD) and other anxiety disorders. However, they are not the primary cause of physiological symptoms in specific phobias.
Choice D rationale:
The correct answer. Specific phobias trigger a "fight or flight" response through the autonomic nervous system, leading to physiological symptoms like palpitations, sweating, and shortness of breath. This response is an evolutionary adaptation designed to prepare the body to respond to threats.
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