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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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Antidepressants (Choice A) are not typically the first-line medication class for treating specific phobias. While they may be used in some cases, they are not the primary choice for addressing the symptoms of phobias.
Choice B rationale:
Benzodiazepines (Choice B) are sometimes used to manage acute anxiety symptoms, but they are generally not recommended for long-term treatment of specific phobias due to the risk of dependence and potential side effects.
Choice C rationale:
Beta-blockers (Choice C) can be useful in managing the physical symptoms of anxiety, such as rapid heartbeat and trembling, which often accompany phobias. They work by blocking the effects of adrenaline, reducing the "fight or flight" response. This can help the client feel more physically at ease when confronting their phobic stimulus.
Choice D rationale:
Analgesics (Choice D) are pain-relieving medications and have no direct relevance to treating phobias. They do not address the underlying fear and anxiety associated with phobias.
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)
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