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 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:
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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