Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?
Posttraumatic stress response
Panic attacks with agoraphobia
Generalized anxiety disorder
Obsessive-compulsive disorder
The Correct Answer is B
A. Posttraumatic stress response involves reliving traumatic events, flashbacks, and hyperarousal, not specifically avoidance due to anxiety about leaving the home.
B. Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable, leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder.
C. Generalized anxiety disorder involves excessive worry about multiple areas of life but not specific avoidance behaviors like agoraphobia.
D. Obsessive-compulsive disorder involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions), but not the avoidance behavior characteristic of agoraphobia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Joining a book club may be too ambitious at the start of treatment for someone with agoraphobia.
B. Gradual exposure to feared situations is a common treatment for agoraphobia. This plan represents a reasonable and incremental goal, showing understanding of the treatment approach.
C. Participating in group therapy might be too overwhelming and may not directly address the client's fear of being outside.
D. Avoidance of elevators and closed spaces goes against the goal of treatment, which is to face fears gradually and safely.
Correct Answer is C
Explanation
A. Nausea is a common side effect but is not as critical as a skin rash.
B. Tremors may occur with certain medications used in bipolar disorder but are not a specific concern with lamotrigine.
C. A skin rash is a serious adverse effect of lamotrigine, as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), which require immediate medical intervention.
D. Drowsiness may occur with many medications but is not as urgent as a skin rash in this case.
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