What is one example of an outcome for the nursing interventions aimed at reducing fear and anxiety in clients with phobias?
The client reports decreased fear and anxiety related to phobias.
The client demonstrates increased avoidance behavior.
The client engages in exposure therapy without excessive distress.
The client applies cognitive-behavioral techniques ineffectively.
The Correct Answer is C
Choice A rationale:
The client reporting decreased fear and anxiety related to phobias (Choice A) is a subjective outcome that might not accurately reflect the effectiveness of the nursing interventions. It relies solely on the client's self-report and might not provide an objective measure of improvement.
Choice B rationale:
The client demonstrating increased avoidance behavior (Choice B) is not an outcome aimed at reducing fear and anxiety. Increased avoidance behavior would actually indicate a worsening of the phobia-related symptoms, as the client is avoiding the feared stimulus more.
Choice C rationale:
The client engaging in exposure therapy without excessive distress (Choice C) is a desired outcome for interventions targeting phobias. Exposure therapy involves gradually exposing the client to the feared stimulus in a controlled manner. If the client can tolerate exposure without excessive distress, it indicates a positive response to the intervention and a reduction in fear and anxiety over time.
Choice D rationale:
The client applying cognitive-behavioral techniques ineffectively (Choice D) is not a desirable outcome. The goal of cognitive-behavioral techniques is to equip the client with effective coping strategies to manage their phobias. If the client is applying these techniques ineffectively, it indicates a need for further intervention or adjustment of the therapeutic approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Psychoeducation involves providing information about psychological conditions, symptoms, and treatment options to clients. However, it is not specifically aimed at helping clients identify and challenge irrational thoughts and beliefs associated with their phobias.
Choice B rationale:
Cognitive therapy aims to help clients identify and challenge irrational thoughts and beliefs associated with their phobias. By addressing cognitive distortions and negative thought patterns, individuals can learn to reframe their thinking, reduce anxiety, and manage their phobias more effectively.
Choice C rationale:
Behavioral therapy focuses on modifying behavior through techniques such as exposure therapy and desensitization. While behavioral therapy is often used in phobia treatment, it doesn't primarily target irrational thoughts and beliefs as cognitive therapy does.
Choice D rationale:
Relaxation therapy teaches individuals relaxation techniques to manage stress and anxiety. While relaxation techniques can be beneficial as a complementary approach, they are not specifically focused on addressing irrational thoughts associated with phobias.
Post-traumatic stress disorder (PTSD)
Correct Answer is D
Explanation
Choice A rationale:
Neurochemical imbalances in the brain are more commonly associated with mood disorders like depression and anxiety disorders in general, rather than being a specific cause of the physiological symptoms seen in phobias.
Choice B rationale:
Negative self-beliefs and cognitive distortions are central to anxiety disorders like generalized anxiety disorder and social anxiety disorder, but they don't directly explain the acute physiological symptoms like palpitations and sweating seen in phobias.
Choice C rationale:
Traumatic experiences and learned associations are relevant to post-traumatic stress disorder (PTSD) and other anxiety disorders. However, they are not the primary cause of physiological symptoms in specific phobias.
Choice D rationale:
The correct answer. Specific phobias trigger a "fight or flight" response through the autonomic nervous system, leading to physiological symptoms like palpitations, sweating, and shortness of breath. This response is an evolutionary adaptation designed to prepare the body to respond to threats.
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