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 D rationale:
The individual fears or avoids certain situations due to thoughts of difficulty escaping or lack of available help in case of developing incapacitating symptoms (Choice D) is a characteristic of agoraphobia. Individuals with agoraphobia often fear being in situations where escape might be challenging or help might not be readily available if they experience intense anxiety or panic symptoms.
Choice A rationale:
The fear or anxiety is not better explained by another mental disorder (Choice A) is a general criterion for diagnosing anxiety disorders, but it doesn't specifically relate to agoraphobia.
Choice B rationale:
The individual fears or avoids social situations due to the perceived threat of negative evaluation (Choice B) is more indicative of social anxiety disorder, not agoraphobia.
Choice C rationale:
The fear or anxiety is persistent, typically lasting for 6 months or more (Choice C) is a general criterion for diagnosing anxiety disorders, but it doesn't uniquely characterize agoraphobia.
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.
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