During a therapy session, a nurse is speaking with a client who has a phobia of public speaking. The client expresses, "I'm so afraid that I'll embarrass myself in front of others. I can't even imagine giving a presentation without feeling intense fear." Based on the client's statement, the nurse identifies that the client is most likely experiencing:
Specific Phobia.
Social Phobia.
Agoraphobia.
Panic Disorder.
The Correct Answer is B
Choice B rationale:
The client's intense fear of embarrassing themselves in front of others and the specific fear related to giving a presentation are indicative of social phobia (social anxiety disorder) Social phobia involves an excessive fear of social situations where the individual fears negative evaluation or judgment by others, leading to avoidance of such situations.
Choice A rationale:
While the client's fear is related to public speaking, the emphasis is on the fear of embarrassment and negative evaluation rather than a fear of a specific object or situation, which aligns more with social phobia.
Choice C rationale:
Agoraphobia does not align with the client's fear of public speaking. Agoraphobia involves the fear of situations where escape might be difficult or help might not be available if a panic attack occurs, often leading to avoidance of various places or situations.
Choice D rationale:
Panic disorder involves recurrent and unexpected panic attacks, which are not explicitly mentioned in the client's statement. The focus of the client's fear is on the social aspect of giving a presentation rather than on panic attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice D rationale:
The individual fears or avoids certain situations due to thoughts of difficulty escaping or lack of available help in case of developing incapacitating symptoms (Choice D) is a characteristic of agoraphobia. Individuals with agoraphobia often fear being in situations where escape might be challenging or help might not be readily available if they experience intense anxiety or panic symptoms.
Choice A rationale:
The fear or anxiety is not better explained by another mental disorder (Choice A) is a general criterion for diagnosing anxiety disorders, but it doesn't specifically relate to agoraphobia.
Choice B rationale:
The individual fears or avoids social situations due to the perceived threat of negative evaluation (Choice B) is more indicative of social anxiety disorder, not agoraphobia.
Choice C rationale:
The fear or anxiety is persistent, typically lasting for 6 months or more (Choice C) is a general criterion for diagnosing anxiety disorders, but it doesn't uniquely characterize agoraphobia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.