Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A female client experiences feelings of choking or shortness of breath, palpitations and a sense of impending doom in open spaces. Because the client constantly fears having another panic attack in public areas, the client has severely limited activities outside her home. A nursing diagnosis of fear related to avoidance is given. Which of the following nursing actions is the least appropriate?
  1. Encourage the client to verbalize her fears and feelings
  2. Assist the client to develop new problem-solving techniques to reduce stress
  3. Assist the client to manage her fears in group situations
  4. Develop strategies to suppress feelings that induce irrational fears
Explanation
Answer: D - Suppression is a maladaptive defense mechanism when dealing with irrational fears. Verbalization of feelings, development of new problem-solving techniques, and management of fears in a group setting allow the client to manage irrational thoughts and fears as they arise. These strategies encourage the clients by showing them that they are in control.
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