Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Medical Surgical Nursing
Easy

The common side effect of CPAP mask is:

Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Explanation

  • Claustrophobia is an irrational fear of confined spaces.
  • The CPAP mask, as shown in the image, fits tightly over the nose and/or mouth, which can make the user feel trapped, restricted, or suffocated.
  • This feeling of confinement directly triggers claustrophobic anxiety in susceptible individuals.
  • This psychological discomfort is a well-documented and common reason for poor patient compliance and early discontinuation of essential CPAP therapy for conditions like sleep apnea.

Why Other Options Were Wrong

  • Option B: Hydrophobia is the fear of water. It has no connection to wearing a respiratory mask.
  • Option C: Acrophobia is the fear of heights. It is an anxiety disorder unrelated to medical devices worn on the face.
  • Option D: Nomophobia is the fear or anxiety caused by not having a working mobile phone. It is a modern, behavioral issue.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Side effects and patient adherence issues related to Continuous Positive Airway Pressure (CPAP) therapy as background academic context rather than a clinical decision trigger.
  • Patient education is a primary nursing responsibility for improving CPAP adherence. Helping patients anticipate and manage side effects like claustrophobia is critical for long-term treatment success.
  • Nurses can suggest practical coping strategies, such as desensitization (wearing the mask for short periods while awake), ensuring a proper fit, and exploring different mask types with the provider.
  • What if? If a patient continues to experience severe claustrophobia despite trying different masks and desensitization, the nurse should facilitate a referral back to the sleep specialist. Alternative treatments for sleep apnea, such as oral appliances or surgical options, may need to be considered.
How to Approach the Question
  • First, identify the core of the question: It asks for a common side effect of a specific medical device, the CPAP mask.
  • Analyze the function and user experience of a CPAP mask. It is a device worn tightly on the face, often for the entire night, to deliver pressurized air.
  • Next, evaluate the options provided. All options are specific phobias (fears).
  • Connect the physical experience of wearing the mask (a feeling of confinement) to the definition of each phobia.
  • Claustrophobia is the fear of confined spaces, which is a direct and logical psychological reaction to having a mask strapped to one's face.
  • Rule out the other options as they are irrelevant: Hydrophobia (fear of water), Acrophobia (fear of heights), and Nomophobia (fear of being without a mobile phone) have no connection to the use of a CPAP mask.
Concept Tested & Keywords
  • Concept Tested: Side effects and patient adherence issues related to Continuous Positive Airway Pressure (CPAP) therapy.
  • Stem keywords: CPAP mask, common side effect
  • Lead-in keywords: is
  • Clinical cues: The image shows a full-face CPAP mask, which is more likely to induce claustrophobia than smaller nasal masks.

Question ID

QJjDQNBv-uT7Jp6E_MUJIx

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 5 p. 2

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