WITH VERIFIED SOLUTIONS 100% CORRECT
A certified nurse midwife is teaching a pregnant woman techniques to
reduce the pain of childbirth. Which stress reduction activities would be
most effective? Select all that apply.
A. Progressive muscle relaxation
B. Meditation
C. Anticipatory socialization
D. Biofeedback
E. Rhythmic breathing
F. Guided imagery - correct answer- a, b, e, f. Relaxation techniques
are useful in many situations, including childbirth, and consist of
rhythmic breathing and progressive muscle relaxation. Meditation and
guided imagery could also be used to distract a patient from the pain of
childbirth. Anticipatory socialization helps to prepare people for roles
they don't have yet, but aspire to, such as parenthood. Biofeedback is a
method of gaining mental control of the autonomic nervous system and
thus regulating body responses, such as blood pressure, heart rate, and
headaches.
A college student visits the school's health center with vague complaints
of anxiety and fatigue. The student tells the nurse, "Exams are right
around the corner and all I feel like doing is sleeping." The student's vital
signs are within normal parameters. What would be an appropriate
question to ask in response to the student's verbalizations?
A. "Are you worried about failing your exams?"
,B. "Have you been staying up late studying?"
C. "Are you using any recreational drugs?"
D. "Do you have trouble managing your time?" - correct answer- a.
Mild anxiety is often handled without conscious thought through the use
of coping mechanisms, such as sleeping, which are behaviors used to
decrease stress and anxiety. Based on the complaints and normal vital
signs, it would be best to explore the patient's level of stress and
physiologic response to this stress.
A nurse assisting with a patient bed bath observes that an older female
adult has dry skin. The patient states that her skin is always "itchy."
Which nursing action would be the nurse's best response?
A. Bathe the patient more frequently.
B. Use an emollient on the dry skin.
C. Massage the skin with alcohol.
D. Discourage fluid intake. - correct answer- b. An emollient soothes
dry skin, whereas frequent bathing increases dryness, as does alcohol.
Discouraging fluid intake leads to dehydration and, subsequently, dry
skin.
A nurse caring for patients in a busy hospital environment should
implement which recommendation to promote sleep?
A. Keep the room light dimmed during the day.
B. Keep the room cool.
C. Keep the door of the room open.
,D. Offer a sleep aid medication to patients on a regular basis. - correct
answer- b. The nurse should keep the room cool and provide earplugs
and eye masks. The nurse should also maintain a brighter room
environment during daylight hours and dim lights in the evening, and
keep the door of the room closed. Sleep aid medications should only be
offered as prescribed.
A nurse caring for patients in a critical care unit knows that providing
good oral hygiene is an essential part of nursing care. What are some of
the benefits of providing this care? Select all that apply.
A. It promotes the patient's sense of well-being.
B. It prevents deterioration of the oral cavity.
C. It contributes to decreased incidence of aspiration pneumonia.
D. It eliminates the need for flossing.
E. It decreases oropharyngeal secretions.
F. It helps to compensate for an inadequate diet. - correct answer- a,
b, c. Adequate oral hygiene is essential for promoting the patient's sense
of well-being and preventing deterioration of the oral cavity. Diligent
oral hygiene care can also improve oral health and limit the growth of
pathogens in oropharyngeal secretions, decreasing the incidence of
aspiration pneumonia and other systemic diseases. Oral care does not
eliminate the need for flossing, decrease oropharyngeal secretions, or
compensate for poor nutrition.
A nurse caring for patients in a hospital setting uses anticipatory
guidance to prepare them for painful procedures. Which nursing
intervention is an example of this type of stress management?
, A. The nurse teaches a patient rhythmic breathing to perform prior to
the procedure.
B. The nurse tells a patient to focus on a pleasant place, mentally place
himself in it, and breathe slowly in and out.
C. The nurse teaches a patient about the pain involved in the procedure
and describes methods to cope with it.
D. The nurse teaches a patient to create and focus on a mental image
during the procedure in order to be less responsive to the pain. -
correct answer- c. Anticipatory guidance focuses on psychologically
preparing a person for an unfamiliar or painful event. When the patient
know what to expect—for example, when the nurse tells the patient
about the pain he or she should expect to experience during a
procedure, and describes related pain relief measures—the patient's
anxiety is reduced. Rhythmic breathing is a relaxation technique,
focusing on a pleasant place and breathing slowly in and out is a
meditation technique, and focusing on a mental image to reduce
responses to stimuli is a guided imagery technique.
A nurse caring for patients in a long-term care facility is implementing
interventions to help promote sleep in older adults. Which action is
recommended for these patients?
A. Increase physical activities during the day.
B. Encourage short periods of napping during the day.
C. Increase fluids during the evening.
D. Dispense diuretics during the afternoon hours. - correct answer-
a. In order to promote sleep in the older adult, the nurse should
encourage daily physical activity such as walking or water aerobics,