Two forms of therapy that call for the nurse to plan for an initial rise in patient anxiety level are:

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Flooding introduces a phobic patient to the feared stimulus in increasingly large doses,and response prevention requires a patient 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.Relaxation training,meditation,and anxiolytics reduce anxiety without an initial anxiety increase.Modeling coping responses and cognitive restructuring are implemented in a nonthreatening way and do not usually increase anxiety significantly.

Two Forms of Therapy That Call for the Nurse to Plan