A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
The pain worsens with deep inspiration.
The pain persists with rest and organic nitrates.
Exertion and anxiety can trigger the pain.
The pain usually lasts more than 20 minutes.
The Correct Answer is C
Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.
Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.
Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.

Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Clang associations, or speech governed by the sound of words rather than their meaning, are common in manic episodes.
Choice B reason: Impulsive behaviors such as spending large sums of money are characteristic of mania.
Choice C reason: Increased sociability and flirtatious behavior can be observed in individuals experiencing mania.
Choice D reason: Sleeping for long periods is not typically associated with manic behavior; rather, reduced need for sleep is more common.
Choice E reason: Rapid, continuous speech is a symptom of manic behavior, often making it difficult for others to interrupt.
Correct Answer is D
Explanation
Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.
Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.
Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.
Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.
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