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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Correct Answer is C
Explanation
Choice A rationale:
While this characteristic is important, it doesn't distinguish specific phobia from other mental disorders. It's a common requirement for many mental disorders to ensure the symptoms are not transient.
Choice B rationale:
This characteristic is more aligned with Social Phobia, where individuals fear negative evaluation in social situations, rather than Specific Phobia, which involves fear of specific situations or objects.
Choice C rationale:
The persistence of fear or anxiety for at least 6 months is a defining feature of specific phobias. This chronic nature helps differentiate it from transient fears or anxieties.
Choice D rationale:
This characteristic is related to Agoraphobia, where individuals fear situations in which they might develop incapacitating symptoms and lack available help. It doesn't specifically describe the fear of certain situations or objects seen in specific phobias.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement reflects cognitive distortion, where their thoughts are irrational and exaggerated. The client's intense fear of bad things happening during a flight and their inability to imagine being on a plane without fear are examples of distorted thinking patterns.
Choice B rationale:
Maladaptive coping refers to using ineffective strategies to deal with stress or anxiety. While the client's fear of flying is indeed a maladaptive response, the statement doesn't directly describe coping mechanisms.
Choice C rationale:
Rational thinking involves logical and balanced thoughts. The client's statement does not reflect rational thinking, as their fear is intense and irrational.
Choice D rationale:
Effective self-management involves using appropriate strategies to manage one's fears or anxieties. The client's statement does not indicate effective self-management, as their fear seems to be controlling their emotions and thoughts rather than managing them.
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