A nurse is assessing a client with a phobia and notes that the client actively avoids certain situations and endures them with intense fear or anxiety. The nurse recognizes that this behavior is characteristic of:

Specific Phobia.

Social Phobia.

Agoraphobia.

Panic Disorder.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Specific Phobia is characterized by the active avoidance of certain situations or objects accompanied by intense fear or anxiety. Individuals with specific phobias tend to go to great lengths to avoid the feared stimulus due to the overwhelming distress it causes. This aligns with the behavior described in the question.

Choice B rationale:

Social Phobia involves the fear or avoidance of social situations due to the perceived threat of negative evaluation by others. It doesn't necessarily involve specific situations or objects like the client's behavior in the question.

Choice C rationale:

Agoraphobia involves the fear of situations where escape might be difficult or help might not be available in the event of developing incapacitating symptoms. This doesn't fully match the behavior described, as the client is not expressing fear related to difficulty escaping or lack of available help.

Choice D rationale:

Panic Disorder is characterized by recurrent panic attacks and the persistent worry about future attacks. While panic attacks can be triggered by specific phobias, the avoidance behavior and the focus on certain situations are more indicative of a specific phobia rather than Panic Disorder.

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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.

A. "It's important to confront your fears and gradually expose yourself to the situations that make you anxious.". B. "It's best to avoid situations that trigger your anxiety to prevent panic attacks.". C. "You should try to distract yourself when you start feeling anxious in those situations.". D. "You should stay home and avoid going out to prevent any potential panic attacks.".

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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A nurse is assessing a client with a phobia and notes that the client actively avoids certain situations and endures them with intense fear or anxiety. The nurse recognizes that this behavior is characteristic of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic of a specific phobia?

Correct Answer is C

Explanation

A client with agoraphobia states, "I am afraid of being in places where I can't escape easily." Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is providing education to a client prescribed an antidepressant for their phobia. Which statement by the client indicates a need for further teaching?

Which of the following is a characteristic of agoraphobia?

A nurse is assessing a client with a phobia and notes that the client actively avoids certain situations and endures them with intense fear or anxiety. The nurse recognizes that this behavior is characteristic of:

A nurse is assessing a patient with a specific phobia. Which of the following statements by the patient indicates a specific phobia?

A nurse is planning care for a client with a phobia. Which nursing intervention is appropriate for this client?

A nurse is providing education to a client diagnosed with a specific phobia. Which medication class should the nurse include in the teaching plan?