A nursing student asks to be excused from a required group presentation.He reveals that he is afraid that he will "mess up" and that others will laugh at him.He reports significant dread at the thought of any public presentation,accompanied often by nausea and vomiting when such situations occurred in the past.He reports he was unable to go to prom because he cannot dance well and feared he would be teased or become physically ill.This history suggests the presence of a:

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Fear of a potentially embarrassing situation and being judged by others is characteristic of a social phobia.Specific phobias involve being afraid of specific objects or circumstances,such as dogs or enclosed spaces.Here,the student instead fears any situation that involves being before others and in which he may be judged by others.Agoraphobia is fear of open places or being unable to escape or get help.Generalized anxiety disorder involves heightened anxiety in general,without a specific focus or precipitant.

A Nursing Student Asks to Be Excused from a Required