During a therapy session, a nurse is speaking with a client who has a phobia of public speaking. The client expresses, "I'm so afraid that I'll embarrass myself in front of others. I can't even imagine giving a presentation without feeling intense fear." Based on the client's statement, the nurse identifies that the client is most likely experiencing:
Specific Phobia.
Social Phobia.
Agoraphobia.
Panic Disorder.
The Correct Answer is B
Choice B rationale:
The client's intense fear of embarrassing themselves in front of others and the specific fear related to giving a presentation are indicative of social phobia (social anxiety disorder) Social phobia involves an excessive fear of social situations where the individual fears negative evaluation or judgment by others, leading to avoidance of such situations.
Choice A rationale:
While the client's fear is related to public speaking, the emphasis is on the fear of embarrassment and negative evaluation rather than a fear of a specific object or situation, which aligns more with social phobia.
Choice C rationale:
Agoraphobia does not align with the client's fear of public speaking. Agoraphobia involves the fear of situations where escape might be difficult or help might not be available if a panic attack occurs, often leading to avoidance of various places or situations.
Choice D rationale:
Panic disorder involves recurrent and unexpected panic attacks, which are not explicitly mentioned in the client's statement. The focus of the client's fear is on the social aspect of giving a presentation rather than on panic attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This description is more fitting for panic disorder or generalized anxiety disorder, which involve intense fear, anxiety, panic, and impaired functioning. Specific phobias can cause distress and impairment, but they are primarily characterized by the fear of a specific object or situation.
Choice B rationale:
Phobias are diagnosed based on the psychological and behavioral symptoms related to the fear of a specific object or situation, not solely on physiological symptoms.
Choice C rationale:
While duration and frequency of symptoms are important factors, they are not the central criteria for diagnosing specific phobias. These factors might be more relevant to other anxiety disorders.
Choice D rationale:
The correct answer. Phobias are diagnosed based on the specific type of fear-inducing object or situation and the associated features of the phobia. These features include the marked and persistent fear, avoidance behavior, and the irrationality of the fear response.
Correct Answer is A
Explanation
Choice A rationale:
Psychoeducation (Choice A) involves providing the client with information about their condition, treatment options, and coping strategies. It can help the client understand their phobia better and empower them to take an active role in managing their fear.
Choice B rationale:
Cognitive therapy (Choice B) focuses on identifying and challenging irrational thoughts and beliefs related to the phobia. By changing thought patterns, clients can learn to respond to their phobic triggers in a more rational and less anxiety-provoking manner.
Choice C rationale:
Behavioral therapy (Choice C), including exposure therapy, is a cornerstone of phobia treatment. It involves gradually exposing the client to the feared stimulus in a controlled manner, helping them learn that their anxiety decreases over time.
Choice D rationale:
Relaxation therapy (Choice D) teaches clients relaxation techniques such as deep breathing, progressive muscle relaxation, and meditation. These techniques can help reduce overall anxiety levels and provide a sense of control in anxiety-provoking situations.
Choice E rationale:
All of the above (Choice E) is the correct answer because each of the listed non-pharmacological therapies (psychoeducation, cognitive therapy, behavioral therapy, relaxation therapy) plays a valuable role in helping clients cope with their phobias. They can be used in combination to provide comprehensive support for the client's needs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.