A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress.
Which of the following instructions should the nurse give the client about using progressive relaxation?
"Think about a positive outcome to a stressful situation.”
"Tighten a muscle group, then release the tension and move to the next one.”
"Picture taking the stress you feel and pushing it down and out of your feet.”
"Focus on a pleasant memory and express your emotions in writing.”
The Correct Answer is B
Choice B rationale:
Teaching the client to tighten a muscle group, release the tension, and then move to the next one is a technique used in progressive muscle relaxation (PMR) PMR is a stress management technique that involves tensing and relaxing different muscle groups to reduce muscle tension and promote relaxation. This method helps individuals become more aware of the sensations associated with muscle tension and relaxation, making it an effective strategy for managing anxiety and stress.
Choice A rationale:
Thinking about a positive outcome to a stressful situation is a cognitive-behavioral technique that can help shift the client's focus from negative thoughts to positive ones. While this technique can be beneficial, it does not specifically pertain to progressive relaxation as described in choice B.
Choice C rationale:
Picturing taking the stress and pushing it out of the feet is a visualization technique, which can be helpful for some individuals in managing stress. However, it is not a component of progressive relaxation as described in choice B.
Choice D rationale:
Focusing on a pleasant memory and expressing emotions in writing is a form of journaling or expressive writing, which can be a therapeutic technique for managing emotions and stress. While it can be a helpful strategy, it is not the same as progressive relaxation involving muscle tension and release.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. While some gestures can be helpful in communication, they might not always convey complex medical information accurately.
B. Incorrect. Speaking slowly might not necessarily enhance understanding, especially if the client's primary language is different from the nurse's.
C. Correct. When using an interpreter, the nurse should address the client directly and speak as if they are having a direct conversation with the client.
D. Incorrect. Pausing in the middle of sentences can disrupt the flow of communication and might not facilitate understanding.
Correct Answer is A
Explanation
Choice A rationale:
A capillary glucose level of 198 mg/dL in a client receiving total parenteral nutrition (TPN) suggests hyperglycemia, which is a common complication of TPN. TPN solutions are high in glucose, and clients receiving TPN are at risk of developing hyperglycemia. Regular monitoring of blood glucose levels is necessary to detect and manage hyperglycemia promptly.
Choice B rationale:
Serum albumin level of 3.9 g/dL is within the normal range (3.5-5.5 g/dL) and does not indicate a complication of TPN. Low serum albumin levels could suggest malnutrition or liver disease, but in this case, the level is normal.
Choice C rationale:
Hemoglobin (Hgb) level of 15.6 g/dL is within the normal range for both men and women, indicating an adequate oxygen-carrying capacity of the blood. This result does not suggest a complication related to TPN.
Choice D rationale:
White blood cell (WBC) count of 7,000/mm³ is within the normal range (4,500-11,000/mm³) and does not indicate a complication of TPN. Elevated WBC count could suggest an infection, but in this case, the count is normal.
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