Two forms of therapy that call for the nurse to plan for an initial rise in client anxiety level are
a. relaxation training and meditation.
b. flooding and response prevention.
c. anxiolytic therapy and ß-blocker use.
d. modeling and cognitive restructuring.
ANS: B
Flooding introduces a phobic client to the feared stimulus in continual large doses, and response
prevention requires a client with obsessive-compulsive disorder to avoid performing the ritual that
relieves anxiety. Both cause an initial rise in anxiety before the anxiety level is reduced. The goal of
options A and C is anxiety reduction without initial anxiety increase. Option D: Modeling will not
cause an initial rise in anxiety, and cognitive restructuring is performed in a nonthreatening way.
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