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:
Encouraging the client to face their fear gradually is a cornerstone of exposure therapy, a proven psychological approach for treating phobias. Gradual exposure helps the client confront their fears in a controlled manner, allowing them to build tolerance and reduce anxiety over time.
Choice B rationale:
Administering benzodiazepines as needed for acute anxiety (choice B) is not the first-line intervention for treating phobias. While benzodiazepines can provide rapid relief from acute anxiety, they do not address the underlying phobia and can lead to dependence if used excessively.
Choice C rationale:
Providing psychoeducation about the causes and effects of phobias is valuable, but it alone might not be as effective as exposure therapy or other evidence-based treatments. Educating the client about the nature of phobias can complement their treatment plan.
Choice D rationale:
Teaching the client relaxation techniques to manage anxiety is beneficial but might not be as effective as exposure therapy for addressing phobias directly. Relaxation techniques can be useful in managing general anxiety, but specific phobias are best treated with exposure-based interventions.
Correct Answer is B
Explanation
Choice A rationale:
The statement "This medication will help regulate my mood and anxiety" is accurate. Antidepressants are commonly prescribed for mood and anxiety disorders, including phobias. They work by affecting neurotransmitters in the brain to improve mood and reduce anxiety.
Choice B rationale:
The statement "I should expect to see immediate results after taking this medication" is incorrect. This suggests a misunderstanding about the timeline for antidepressant effectiveness. Antidepressants typically take several weeks to show noticeable effects. It's important to educate the client that gradual improvement over time is expected.
Choice C rationale:
The statement "I may experience side effects such as nausea and drowsiness" is accurate. Many antidepressants can indeed cause side effects like nausea, drowsiness, and other gastrointestinal symptoms, especially when starting the medication. Educating the client about potential side effects promotes informed decision-making.
Choice D rationale:
The statement "It's important to take this medication consistently as prescribed" is accurate. Consistent adherence to the prescribed medication regimen is crucial for the effectiveness of antidepressants. Missing doses or stopping the medication abruptly can lead to discontinuation symptoms and a potential relapse of symptoms.
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