A client is seeking treatment for a specific phobia: fear of ...

[fahad]

A client is seeking treatment for a specific phobia: fear of cats. The nurse in the anxiety disorders
  clinic has established the nursing diagnosis of anxiety related to exposure to phobic object (cats).
 
  A
  realistic indicator for the outcome anxiety self-control would be that within 10 days, the client will
  a. avoid the feared object whenever possible.
  b. face the feared object without supportive assistance.
  c. state that the fear of cats is unrealistic and inappropriate.
  d. practice relaxation techniques and report decreased physiological sensations
  associated with thoughts of the feared object.

Question 2

A client who has been unable to leave his home for more than a month because of symptoms of
  severe anxiety tells the nurse I know it's probably crazy, but I just can't bring myself to leave my
  apartment alone..
 
  An appropriate nursing intervention for the nurse to include in the nursing care
  plan is to
  a. teach the client to use positive self-talk.
  b. assist the client to apply for disability benefits.
  c. reinforce the irrationality of the client's fears.
  d. advise the client to accept the situation and use a companion.

[gasdhashg]

Answer to Question 1

ANS: D
When the client is able to relax in the presence of thoughts, pictures, or the phobic object, the client
will begin to experience a sense of control over the phobia. Option A is unrelated to anxiety
self-control. Option B probably cannot be achieved within 10 days. Option C: Intellectual
understanding does not automatically convey behavioral change associated with anxiety self-control.

Answer to Question 2

ANS: A
This intervention, a form of cognitive restructuring, replaces negative thoughts such as I can't leave
my apartment with positive thoughts such as I can control my anxiety.. This technique helps the
client gain mastery over his symptoms. The other options reinforce the sick role.

[fahad]

Excellent

[Dnite]

TYSM