A nurse is planning care for a client with a phobia. Which nursing intervention is appropriate for this client?
Encouraging the client to face their fear gradually.
Administering benzodiazepines as needed for acute anxiety.
Providing psychoeducation about the causes and effects of phobias.
Teaching the client relaxation techniques to manage anxiety.
The Correct Answer is A
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
Collaborating with the client to set realistic and achievable goals for overcoming phobias (Choice C) is an example of a nursing intervention for phobias. This empowers the client to actively participate in their treatment, fostering a sense of control and motivation to confront their fears.
Choice A rationale:
Providing a safe and supportive environment for the client (Choice A) is important, but it is a more general intervention that doesn't specifically address the process of overcoming phobias.
Choice B rationale:
Encouraging the client to avoid situations that trigger phobic responses (Choice B) is counterproductive, as mentioned earlier. It reinforces avoidance behaviors rather than helping the client confront their fears.
Choice D rationale:
Referring the client to other health care professionals as needed (Choice D) is a potential step in the treatment process, but it doesn't exemplify a direct nursing intervention for phobias. It's more about coordinating care if specialized help is required.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement reflects cognitive distortion, where their thoughts are irrational and exaggerated. The client's intense fear of bad things happening during a flight and their inability to imagine being on a plane without fear are examples of distorted thinking patterns.
Choice B rationale:
Maladaptive coping refers to using ineffective strategies to deal with stress or anxiety. While the client's fear of flying is indeed a maladaptive response, the statement doesn't directly describe coping mechanisms.
Choice C rationale:
Rational thinking involves logical and balanced thoughts. The client's statement does not reflect rational thinking, as their fear is intense and irrational.
Choice D rationale:
Effective self-management involves using appropriate strategies to manage one's fears or anxieties. The client's statement does not indicate effective self-management, as their fear seems to be controlling their emotions and thoughts rather than managing them.
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