The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)
a. "Imagine others treating you the way they should, the way you want to be treated…"
b. "With each breath, you are feeling calmer, more relaxed, almost as if you are floating…"
c. "You are alone on a beach; the sun is warm; and you hear only the sound of the surf…"
d. "You have taken control; nothing can hurt you now; everything is going your way…"
e. "You have grown calm; your mind is still; there is nothing to disturb your well-being…"
f. "You will feel better as work calms down, as your boss becomes more understanding…"
ANS: B, C, E
The intent of guided imagery for managing stress is to lead the patient to envision images that are calming and health enhancing. Statements that involve the patient calming progressively with breathing, feeling increasingly relaxed, being in a calm and pleasant location, being away from stressors, and having a peaceful and calm mind are therapeutic and should be included in the script. However, words that raise stressful images or memories or that involve unrealistic expectations or elements beyond the patient's control (e.g., that others will treat the patient as he desires, that everything is going the patient's way, that bosses are understanding) interfere with relaxation and/or do not promote effective coping. These attempts are not health promoting and should not be included in the script.
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