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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale:

The client's fear of flying in airplanes and the intense panic response when even thinking about it are indicative of a specific phobia. Specific phobias involve an intense and irrational fear of a specific object, situation, or activity. In this case, the fear of flying is specific and triggers a significant anxiety reaction.

Choice B rationale:

Social phobia (also known as social anxiety disorder) involves an excessive fear of social situations where the individual fears being scrutinized or judged by others. This fear extends beyond a specific object or situation, which is not the case in this scenario.

Choice C rationale:

Agoraphobia involves a fear of situations where escape might be difficult or help might not be available if a panic attack occurs. This fear often leads to avoidance of various places or situations, such as crowded spaces. The client's fear of flying is not characteristic of agoraphobia.

Choice D rationale:

Panic disorder is characterized by recurrent and unexpected panic attacks, often accompanied by a fear of having additional attacks. While the client does experience panic symptoms related to the fear of flying, the primary issue is the specific fear of flying itself, suggesting a specific phobia rather than panic disorder.

A. "It's important to confront your fears and gradually expose yourself to the situations that make you anxious.". B. "It's best to avoid situations that trigger your anxiety to prevent panic attacks.". C. "You should try to distract yourself when you start feeling anxious in those situations.". D. "You should stay home and avoid going out to prevent any potential panic attacks.".

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.

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A nurse is providing education to a client with social phobia. Which of the following statements accurately describes social phobia?

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Correct Answer is A

Explanation

A client with agoraphobia states, "I am afraid of being in places where I can't escape easily." Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

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