Author Question: A client is experiencing severe anxiety associated with a phobia. Which nursing actions are ... (Read 71 times)

nummyann · **on:** Jun 25, 2018

A client is experiencing severe anxiety associated with a phobia. Which nursing actions are appropriate when providing care to the client?

Select all that apply.
A) Explain why the reaction to the phobia is unrealistic.
B) Make sure the client understands that she is safe.
C) Teach why the phobia is imagined.
D) Coach the client to deep breathe.
E) Ensure a quiet and calm environment.

Question 2

The nurse is providing teaching to a client diagnosed with a social phobia. Which client statement indicates appropriate understanding of the information presented?

A) I try to avoid all situations where I am expected to talk in front of other people.
B) I can control anxiety by deep breathing and relaxing before talking in front of other people.
C) I take an antianxiety pill before I have to do anything in front of other people.
D) I can have a drink before I speak in front of other people.

akemokai · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, E

As a client's anxiety level associated with a phobia increases, judgment and the ability to listen, remember, and learn are impaired. This is not the time to teach or present new information. The nurse should not argue with the client about the perception of reality. The nurse needs to ensure safety and offer a quiet, calm environment. Coaching in deep breathing would be applicable after the client is stabilized.

Answer to Question 2

Answer: B

People with social phobias may medicate themselves with alcohol or drugs to make it possible to endure social situations. This is not evidence that teaching has been effective. The individual with a social phobia may also avoid all situations in which the phobia occurs. This is also not evidence of successful instruction. Learning to control anxiety by deep breathing and relaxation is evidence that instruction about social phobias has been successful.