A new 24-year-old male client presents to the PMHNP for an evaluation. He reports symptoms of a marked and persistent fear of public speaking, which is frequently required for his new job. He is terrified of embarrassing himself. Which of the following is NOT a characteristic of social anxiety disorder?
Low self-esteem
Sensitivity to rejection
Hypersensitivity to criticism
Decreased anxiety when accompanied by a trusted companion
The Correct Answer is D
Choice A reason: Low self-esteem is commonly associated with social anxiety disorder, contributing to excessive fear of negative evaluation.
Choice B reason: Sensitivity to rejection is typical in social anxiety disorder and may drive avoidance of social situations.
Choice C reason: Hypersensitivity to criticism is characteristic of social anxiety disorder, reinforcing fear and avoidance of social interactions.
Choice D reason: Social anxiety disorder does not typically resolve in the presence of a trusted companion; anxiety may persist regardless of supportive presence. Therefore, decreased anxiety with companionship is not a defining feature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Discontinuing an antidepressant after only two weeks with minimal improvement is premature; SSRIs often require 4–6 weeks for full efficacy.
Choice B reason: Making no changes is appropriate at this stage, as early treatment response is modest. The clinician should continue monitoring and reassess after sufficient treatment duration.
Choice C reason: Adding an augmenting agent is not indicated yet, given the patient has only had two weeks of therapy and lacks significant side effects.
Choice D reason: Switching antidepressants is premature at this early stage of treatment; efficacy assessment requires adequate duration.
Correct Answer is A
Explanation
Choice A reason: Black cohosh has some evidence for reducing vasomotor symptoms such as hot flashes, though studies are limited and results are mixed. It is considered the most studied herbal option for menopausal symptom relief.
Choice B reason: Belladonna has no evidence for treating menopausal symptoms and is not recommended due to potential toxicity.
Choice C reason: Chamomile is primarily used for sleep and mild anxiety; it lacks substantial evidence for treating hot flashes.
Choice D reason: Valerian is used for insomnia and relaxation; it does not effectively treat menopausal vasomotor symptoms.
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