PN3 Exam 1 Questions And Answers

1. Which assessment data would prohibit the use of imagery with a client? 1. No previous history of using imagery techniques 2. States anxiety level of 6 on a 0–10 scale 3. Client feels reluctant to close eyes for the imagery session 4. Client has a history of psychosis 2. The nurse has determined that music therapy may be appropriate for use with a client. Which strategies should the nurse consider when choosing the music? Select all that apply. 1. Choose only music with words. 2. Choose music that is 5–7 minutes in duration. 3. Allow the client to choose music of his or her choice. 4. Encourage the client to respond to the music. 5. Ask the client not to analyze the music. 3. The nurse is using meditation with a client to help him decrease his pain. Which factor is important to consider when using this type of therapy? 1. The type of meditation is best determined by the nurse. 2. The client’s condition will influence the use of meditation. 3. Meditation is best taught when the client is in an outpatient setting. 4. A certified professional should teach the client how to perform meditation. 4. The client asks the nurse how humor therapy affects the client physiologically. Which effects should the nurse explain are attributed to laughter? Select all that apply. 1. Decreases heart rate and blood pressure 2. Increases salivary immunoglobulin A (S-IgA) 3. Produces an antagonist response to stress hormones 4. Decreases the immune response by decreasing Tlymphocytes 5. Changes temperature set point in the brain 5. The nurse decides to teach a client with hypertension the progressive relaxation technique. Which instructions should the nurse give to the client when using this relaxation method? 1. Sit in an upright position with legs crossed. 2. Place sensors on the forehead to monitor physiological activity. 3. Contract and relax the body’s muscles in groups from head to feet. 4. Monitor breathing pattern while repeating a word or phrase out loud. 6. The nurse teaches the client about massage therapy. Which statement by the client demonstrates a correct understanding of the benefits of massage? Select all that apply. 1. “Massage reduces blood clot formation.” 2. “Massage impacts lymphatic drainage.” 3. “Massage increases the lactic acid in muscle.” 4. “Massage ultimately improves blood flow.” 5. “Massage creates a sense of wakefulness.” 7. A nurse is preparing to present information to a women’s group about the cautions associated with aromatherapy. What information is appropriate to include for the audience? Select all that apply. 1. Aromatic oils are produced by a standard-quality formula. 2. The oils should be stored in dark glass containers. 3. Test for allergies by applying a small amount of oil to the skin before use. 4. Essential oils should not be used during pregnancy. 5. Production of essential oils is tightly controlled. 8. The nurse is preparing a presentation for staff about the effects of humor in nursing situations. What feedback would indicate to the nurse that the participants understand the role of humor in the healthcare setting? 1. Understanding that humor increases the social distance between people 2. Noting that humor promotes effective teaching and learning 3. Anticipating that humor fosters the expression of anger and aggression 4. Accepting that humor is ineffective as a coping mechanism 9. The nurse is evaluating the effectiveness of guided imagery for a client with preoperative anxiety. Which client statement should indicate to the nurse that the therapy has been successful? 1. “I hope that I don’t have dreams about the images we used tonight.” 2. “It is a real challenge to concentrate while I have so much on my mind.” 3. “I will need to set up some practice time for next week.” 4. “The images and exercises are selected to reduce anxiety about the surgery.” 10. The nurse is using progressive relaxation on a client who is experiencing a great deal of stress. What nursing action is necessary in order to protect the client's safety prior to the start of the session? 1. Evaluate the client’s muscle strength. 2. Determine if the client is taking sedatives. 3. Place the client in a totally supported position. 4. Obtain information regarding client allergies.