RUHS, Jaipur, PB B.Sc Nursing Entrance-2024
Mental Health Nursing
Easy
Most effective treatment of all types of phobia is-
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2024
Explanation
- Exposure therapy is the most effective, evidence-based treatment and the treatment of choice for all types of phobias.
- It is a type of behavioral therapy that involves gradually and repeatedly exposing the patient to the feared object or situation in a safe, controlled setting.
- This process, often done through systematic desensitization or flooding, helps the patient unlearn the conditioned fear response and reduces anxiety over time.
- Research has consistently shown that in vivo (real-life) exposure is generally more effective than imaginal exposure.
Why Other Options Were Wrong
- Option B: Social therapy, such as group therapy, can be supportive but is not the primary or most effective standalone treatment for specific phobias. It does not directly address the core mechanism of the fear.
- Option C: Avoidance is a maladaptive coping mechanism that defines and perpetuates a phobia. It prevents the individual from learning that the feared object or situation is safe, thereby reinforcing the fear.
- Option D: While medications like SSRIs or benzodiazepines can help manage the symptoms of anxiety, they do not address the underlying phobia. Relapse rates are high when medication is stopped if not combined with behavioral therapy.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Most effective treatment for phobias helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses play a crucial role in educating patients about phobias, explaining that avoidance worsens the fear and that exposure therapy is a safe and effective cure.
- During therapy, nurses can assist by teaching relaxation techniques, providing reassurance, and ensuring the patient's physical and emotional safety.
- It is vital to differentiate between a phobia and normal fear, recognizing that a phobia causes significant distress and impairment in daily functioning.
How to Approach the Question
- First, identify the keywords in the question: "most effective treatment" and "phobia". This signals that you need to recall the first-line, gold-standard therapy.
- Analyze the options provided. Consider the mechanism of each.
- Evaluate 'Avoidance'. Recognize this as a symptom and maintaining factor of a phobia, not a treatment, and eliminate it.
- Compare 'Drug therapy' and 'Exposure therapy'. Recall that while drugs can manage symptoms, they don't cure the underlying fear and have relapse risks. Behavioral therapies aim for a cure.
- Consider 'Social therapy'. While support is helpful, it's not a direct treatment for the specific fear itself.
- Conclude that exposure therapy, which directly targets the unlearning of the fear response, is the most definitive and effective treatment.
Concept Tested & Keywords
- Concept Tested: Most effective treatment for phobias
- Stem keywords: most effective treatment, phobia
- Lead-in keywords: Most
Question ID
Q7cFp7NYR2384TJ34-EAHV
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1305-1307
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 5859-5861, 9548-9550
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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