A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares. In working with this client to overcome the problem, what should the nurse implement as part of therapy?
1. Guided imagery
2. Hypnotherapy
3. Yoga
4. Meditation
Correct Answer: 1
Rationale 1: Guided imagery is a state of focused attention that encourages changes in attitudes, behavior, and physiologic reactions. Guided imagery can help people learn how to stop troublesome thoughts and focus on images that promote relaxation and decrease the negative impact of stressors.
Rationale 2: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.
Rationale 3: Yoga includes ethical models for behavior and mental and physical exercises aimed at producing spiritual enlightenment.
Rationale 4: Meditation is a general term for a wide range of practices that relax the body and help ease the mind.
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A 9-month-old child screams every time his mother leaves and will not tolerate anyone else changing his diaper. The nurse should determine that, according to Mahler's developmental theory, this child's development was arrested at which phase?
1. The autistic phase2. The symbiotic phase3. The separation-individuation phase 4. The rapprochement phase
A medical inpatient who is being counseled for somatoform pain disorder states he believes his pain is the result of an undiagnosed injury
He adds that he is unable to adhere to his plan for care, which involves performing his own activities of daily living, walking 20 minutes daily, and using pain medication only at bedtime. Which behavior, as charted by staff, would most suggest that he is responding to interventions? a. "Patient bathed himself and did not seek analgesics this shift.". b. "Up ad lib, complains of minor pain but ‘trying to do without' pain meds.". c. "Patient agrees to try acetaminophen (Tylenol) in place of narcotics.". d. "Patient states he is feeling better and is ready to leave the hospital.".
A patient who uses a pessary to help control incontinence is given instruction for its care. What should these instructions include?
a. Remove periodically for cleaning. b. Douche daily with a cleansing solution. c. Check for proper placement once a month. d. Periodically deflate the cuff.
In preparing to review different theories, the nurse reviews basic information to assist in under-standing the material. Theories are defined as:
1. Mental formulations of objects or events 2. Aspects of reality that can be consciously sensed 3. Statements that describe concepts or connect concepts 4. Concepts or propositions that project a systematic view of phenomena