Which of the following are nursing interventions for phobias? Select all that apply.
Establishing a therapeutic relationship with the client based on trust, empathy, respect, and acceptance.
Providing a safe and supportive environment for the client.
Encouraging the client to avoid situations that trigger phobic responses.
Assisting the client to identify and challenge irrational thoughts and beliefs.
Implementing exposure therapy with the client.
Correct Answer : B,A
Choice A rationale:
Establishing a therapeutic relationship with the client based on trust, empathy, respect, and acceptance (Choice A) is a crucial nursing intervention for phobias. This helps create a foundation of trust and safety, allowing the client to feel understood and supported in addressing their phobic responses.
Choice B rationale:
Providing a safe and supportive environment for the client (Choice B) is another essential intervention. This environment enables the client to feel secure and encourages them to explore their fears gradually, knowing they are in a protected setting.
Choice C rationale:
Encouraging the client to avoid situations that trigger phobic responses (Choice C) is not a recommended intervention. Avoidance can reinforce the phobia and hinder progress in overcoming it. Encouraging gradual exposure to feared situations is a more effective strategy.
Choice D rationale:
Assisting the client to identify and challenge irrational thoughts and beliefs (Choice D) is an evidence-based intervention. This approach, known as cognitive-behavioral therapy, helps clients recognize and modify distorted thought patterns that contribute to their phobias.
Choice E rationale:
Implementing exposure therapy with the client (Choice E) is a valid intervention for phobias. Exposure therapy involves gradually exposing the client to the feared object or situation in a controlled manner, helping them desensitize and reduce their fear response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Specific Phobia. This is the correct answer. The client's symptoms of marked fear and anxiety about a specific object or situation that is out of proportion to the actual danger, along with resulting distress and impairment, are characteristic of a specific phobia. Specific phobias involve intense fear and avoidance behavior triggered by specific objects or situations, like heights, animals, or certain environments.
Choice B rationale:
Social Phobia. The client's symptoms do not align with social phobia, which centers around fears of social judgment and performance situations, not specific objects or situations.
Choice C rationale:
Agoraphobia. Agoraphobia involves fear of situations where escape may be difficult or embarrassing, such as crowded places. The client's fear does not seem related to this type of avoidance.
Choice D rationale:
Panic Disorder. While panic disorder involves recurrent panic attacks, it does not necessarily involve avoidance of specific objects or situations as the primary response. The client's avoidance behavior is more indicative of a specific phobia.
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.
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