Disorder NEWEST {2025-2026}
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A client informs the nurse at the anxiety disorders clinic that he experiences palpitations, difficulty
breathing, and a sense of overwhelming dread whenever he leaves his home. This problem began after
, he was assaulted and robbed on his way to work. He has been unable to go to his office for over a
month. The client asks the nurse, "Don't you agree that not being able to go out is pretty awful?" The
most therapeutic reply is:
1. "What do you mean by 'awful'?"
2. "You feel awful because you're afraid to leave home?"
3. "No, I don't think it's awful."
4. "I guess some people might say that being housebound is pretty strange." - correct ans:*2. "You feel
awful because you're afraid to leave home?"*
Rationale: The nurse will be able to validate the possibility that the client is dissatisfied with being
unable to control symptoms. The nurse should neither agree nor disagree with the client. It is important
for the client to clarify his/her own thinking.
The client in question #1 has elected to be voluntarily admitted to a private mental health unit in order
to work intensively on his problem. He has refused to leave the unit for activities since the day of
admission. An appropriate nursing intervention to include in the care plan is to:
1. encourage him to ask for a community pass.
2. ask another client to accompany him off the unit.
3. assist him to journal the challenges of leaving the unit.
4. point out the irrationality of his fear. - correct ans:*3. assist him to journal the challenges of leaving
the unit.*
Rationale: Assisting the client to identify specific problems related to the phobia can foster problem
solving, especially when cognitive therapy is used.
A client has sought treatment for a specific phobia: fear of cats. The nurse in the anxiety disorders clinic
has established the nursing diagnosis, Anxiety related to exposure to phobic object (cats). A realistic
short-term goal for this client would be: within 10 days, client will
1. avoid feared object whenever possible.
2. face feared object unassisted.
3. state that feared object no longer produces feelings of dread associated with anxiety.