A patient with a specific phobia is avoiding situations that trigger their fear. This avoidance behavior is most likely a result of:
Genetic predisposition and neurochemical imbalances.
Traumatic experiences and learned associations.
Cultural influences and family dynamics.
Negative self-beliefs and cognitive distortions.
The Correct Answer is B
Choice A rationale:
Genetic predisposition and neurochemical imbalances. While genetics and neurochemistry can contribute to the development of anxiety disorders, they are not the primary factors behind avoidance behaviors associated with specific phobias. Phobias are often learned responses.
Choice B rationale:
Traumatic experiences and learned associations. This choice is the correct answer. Avoidance behaviors seen in specific phobias are usually a result of traumatic experiences that lead to the formation of strong fear responses through learned associations. For instance, if someone had a traumatic experience with spiders, they might develop a phobia of spiders and actively avoid situations involving spiders to prevent the intense fear from reoccurring.
Choice C rationale:
Cultural influences and family dynamics. While cultural factors and family dynamics can impact a person's psychological development, they are not the primary drivers of avoidance behaviors in specific phobias. Phobias are more closely linked to personal experiences and learned responses.
Choice D rationale:
Negative self-beliefs and cognitive distortions. Negative self-beliefs and cognitive distortions are more characteristic of conditions like depression and anxiety disorders, but they are not the central factors driving avoidance behaviors in specific phobias. These behaviors are more strongly connected to learned fear responses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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