Question 1

The nurse should recognize improvement in concentration and attention occurs with which relaxation technique?&#10;A)Biofeedback&#10;B)Physical exercise&#10;C)Meditation&#10;D)Mental imagery

Accepted Answer

Meditation has been shown to improve concentration and attention by increasing activity in the prefrontal cortex, which is responsible for executive functions such as decision making and attention control. Biofeedback and mental imagery may also improve concentration, but are not specifically cited as being effective in the question stem. Physical exercise may improve cognitive function, but the question specifically asks about improvement in concentration and attention, which is not always directly related to physical exercise.

Question 2

A client who has been referred for stress management asks the nurse,"Which one of these relaxation techniques might be eligible for reimbursement by my health insurance?" Which is the appropriate nursing reply?

A)"Meditation may be eligible for reimbursement."
B)"Biofeedback may be eligible for reimbursement."
C)"Physical exercise may be eligible for reimbursement."
D)"Deep breathing may be eligible for reimbursement."

"Biofeedback may be eligible for reimbursement."

Accepted Answer

Biofeedback is a technique that has been shown to be effective in reducing stress and is often eligible for reimbursement by health insurance. Meditation, physical exercise, and deep breathing may also be helpful in managing stress, but their eligibility for reimbursement would depend on the insurance provider and specific plan.

Question 3

A client who has been undergoing stress management training asks the nurse how long practicing stress reduction should last.Which is the most appropriate nursing reply?&#10;A)&#34;Until this stressor has resolved.&#34;&#10;B)&#34;Usually it takes several months before stress is eliminated.&#34;&#10;C)&#34;Whenever you feel better,you can stop.&#34;&#10;D)&#34;Managing stress is a lifelong function.&#34;

Accepted Answer

Managing stress is a lifelong function because stress is a part of daily life and can be triggered by various situations. It is important to continue practicing stress reduction techniques even after a specific stressor has resolved to maintain good mental and physical health.

Question 4

Which should the nurse recognize as the reason physical exercise is an effective relaxation technique?&#10;A)Physical exercise stresses and strengthens the cardiovascular system.&#10;B)Physical exercise decreases the metabolic rate.&#10;C)Physical exercise decreases levels of norepinephrine in the brain.&#10;D)Physical exercise provides a natural outlet for releasing muscle tension.

Accepted Answer

Physical exercise provides a natural outlet for releasing muscle tension, which can help promote relaxation and alleviate stress.

Question 5

Which action should the nurse take prior to educating clients about relaxation techniques?&#10;A)Assisting the client in identifying triggers or sources of stress&#10;B)Performing a physical examination to qualify the client as a candidate for this therapy&#10;C)Obtaining an order from the physician&#10;D)Educating the client's family so they can be active participants in the therapy

Accepted Answer

Before educating clients about relaxation techniques, the nurse should first assist the client in identifying triggers or sources of stress. This will help the client better understand and manage their stressors, which can enhance the effectiveness of relaxation techniques. The other options are not necessary prior to educating clients about relaxation techniques.

Question 6

During a psychoeducational group on stress management,a client asks about meditation.Which nursing statement is most accurate regarding meditation?&#10;A)&#34;It is a procedure whereby various muscle groups are contracted and relaxed,bringing about an overall sense of relaxation.&#34;&#10;B)&#34;The procedure is one whereby you use your imagination to relax and reduce the tension in your body.&#34;&#10;C)&#34;The purpose is to become aware of one's bodily processes and to bring them under conscious control.&#34;&#10;D)&#34;The goal is to gain mastery and control over one's attention,bringing about a special state of consciousness.&#34;

Accepted Answer

Meditation is a practice aimed at gaining mastery over one's attention and focus, resulting in a special state of consciousness. Options A and B refer to relaxation techniques such as progressive muscle relaxation and guided imagery, respectively. Option C describes biofeedback, which is a technique that helps individuals become more aware of their bodily processes and bring them under conscious control.

Question 7

The nurse is teaching a client deep-breathing exercises.The client asks,&#34;Why do I need to make that funny shape with my lips when I breathe out?&#34; Which is the most appropriate nursing reply?&#10;A)&#34;You can actually exhale anyway you like;the lip shape is not important.&#34;&#10;B)&#34;Pursed-lip breathing helps you control the exhalation and helps to keep your airways open.&#34;&#10;C)&#34;Don't worry about the lip shape;concentrate instead on the pace of your breathing.&#34;&#10;D)&#34;The shape of the lip decreases the cough and choking reflex.&#34;

Accepted Answer

Pursed-lip breathing helps to control the exhalation and keeps the airways open. This helps to reduce shortness of breath, especially in clients with respiratory conditions such as COPD.

Question 8

A client diagnosed with Major Depressive Disorder refuses to get out of bed.Which nursing statement best educates the client about the benefits of physical activity?&#10;A)&#34;Depression is caused by the lack of certain brain chemicals that can increase with exercise.&#34;&#10;B)&#34;Physical activity is good for everyone,regardless of their diagnosis.&#34;&#10;C)&#34;Low-intensity exercise is more beneficial than high-impact exercise.&#34;&#10;D)&#34;When you are physically active,it helps to lower your beta endorphins.&#34;

Accepted Answer

This statement directly connects the benefits of physical activity to the client's diagnosis of depression and how exercise can increase certain brain chemicals that are lacking. It is important to provide education that is relevant and personalized to the client's situation.

Question 9

A client asks the nurse to explain the difference between modified (or passive)progressive relaxation and progressive relaxation.Which is the most appropriate nursing reply?&#10;A)&#34;There is an increased focus on deep breathing in the modified version.&#34;&#10;B)&#34;Only large muscle groups are targeted in the modified version.&#34;&#10;C)&#34;There is no muscle contraction in the modified version.&#34;&#10;D)&#34;The modified version is for clients with preexisting cardiovascular disease.&#34;

Accepted Answer

The key difference between modified (or passive) progressive relaxation and traditional progressive relaxation is that in the modified version, there is no muscle contraction involved. Instead, the focus is on relaxation without the initial tensing of muscle groups, which is a hallmark of the traditional method. This makes the modified version more suitable for individuals who might find muscle tensing uncomfortable or contraindicated.

Question 10

After suffering a myocardial infarction,a 37-year-old executive demands premature discharge from the hospital.He tells the nurse,"Just give me my prescriptions and let me get back to work." Which is the most appropriate nursing reply?

A)"To ensure improved health,we need to discuss diet,medication,exercise,and lifestyle changes before you are discharged."
B)"You will not be allowed to leave the hospital without getting your physician's approval for early discharge."
C)"We will discharge you quickly so that the stress you are experiencing will not cause more serious heart damage."
D)"Prior to discharge,we will need to discuss job stress,your finances,and the possibility of an early retirement."

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Accepted Answer

The nurse's response emphasizes the need for important discussions about the patient's health, medication, exercise, and lifestyle changes before leaving the hospital. This will ensure that the patient is properly informed and equipped to manage their condition and promote improved health outcomes.

Question 11

Which positive physical benefit would relaxation provide for a client who has experienced stress-related asthma?&#10;A)Decreased neurotransmitters&#10;B)Decreased blood pressure&#10;C)Increased oxygen saturation levels&#10;D)Decreased alpha brain waves

Accepted Answer

The answer of Which positive physical benefit would relaxation provide...

Question 12

The nurse working for a large corporation is teaching relaxation therapy to employees.Which relaxation technique should the nurse teach first?&#10;A)Deep-breathing exercises&#10;B)Mental imagery&#10;C)Biofeedback&#10;D)Meditation

Accepted Answer

The answer of The nurse working for a large corporation...

Question 13

Which response is a physiological manifestation of relaxation?&#10;A)Increased levels of norepinephrine&#10;B)Pupil dilation&#10;C)Reduced metabolic rate&#10;D)Increased levels of blood sugar

Accepted Answer

The answer of Which response is a physiological manifestation of...

Question 14

The nurse is caring for a client who suffered a stress-related myocardial infarction.Which client statement indicates that the client is ready to learn about the relationship of stress to physical illness?

A)"I just need to take my blood pressure medication religiously."
B)"The first thing I will do will be to cut down on my smoking."
C)"My father had six heart attacks and survived them all.I plan to do the same."
D)"I eat well and exercise.What else do you think could have led to my heart attack?"

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Question 15

The nurse is teaching principles of mental imagery to a group.The nurse should recommend that the client focus on which relaxing environments? Select all that apply.&#10;A)Visualizing the seashore&#10;B)Visualizing a snowy cabin&#10;C)Driving home from work during rush hour&#10;D)Floating through the air on a cloud&#10;E)Lying at home in front of the fireplace

Accepted Answer

The answer of The nurse is teaching principles of mental...

Deck 40: Relaxation Therapy