1. The client diagnosed with a phobic disorder joins a group meeting with apsychiatric nurse-leader. During the first meeting, the client states, "I knowmy feeling of being terrified of closed spaces is dumb. It doesn't make any sense. I just can't seem to do anything about it. Right now I get nervous andscared just thinking about it." Which response by the nurse is best? A) Have a nurse stay with you in a closed space could help you overcomeyour fear B) Knowing that your fears don't make sense doesn't always help you feelbetter C) Participating in several of our unit activities may make you feel better D) Being frightened as a child by some particular incident probably causedthese fears Answer: B Rationale: This communicatesthe best understanding of the client's dilemma; the client knowsthe fears do not make sense yet the client is powerless to deal with them. Wrong Answers: A, C, D

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