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.