The nurse teaches the client progressive self-relaxation techniques. Which should the nurse implement first?
1. Direct the client to envision sailing on a sailboat.
2. Instruct client to increase respiratory rate and depth.
3. Establish client's ability to understand and cooperate.
4. Darken the client's room significantly and close door.
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3. The nurse begins by assessing the client's ability to learn and cooperate to tailor the teaching techniques and vocabulary to the client. This increases the likelihood of the client benefiting from the instruction.
1 and 4. Envisioning pleasant things is part of teaching guided imagery but is not the initial step. After assessing the client, the nurse provides a brief overview of the technique and sets a proper learning environment.
2. Deep respirations are an indication of relaxation; however, instructing a client to breath in a certain way does not induce relaxation.
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The Mental Health Systems Act of 1980 was one of the most progressive mental health bills in the history of the United States, but its enactment was interrupted by the:
a. Election of a new president b. Appointment of a new Surgeon General c. Rapid expansion of community centers d. National Alliance for Mental Illness (NAMI) surveys
A patient asks the nurse how the body identifies bacteria and then proceeds to kill them. The nurse should instruct the patient about:
1. The presence and shape of toll receptors in the cells. 2. The importance of an alkaline environment in the stomach. 3. The role of skin in killing bacteria. 4. The need to retain the tonsils and adenoids.
The nurse is creating the plan of care for an elderly client admitted for prostatic surgery. The client is on medication for hypertension and had a recent fall at home prior to admission
The nurse would include which of the following in the care plan? 1. Monitor blood pressure every 2 hours 2. Assess postural blood pressures 3. Monitor serum sodium levels 4. Monitor serum creatinine levels
The nurse is teaching a new mother about the sleep requirements of a neonate. Which comment by the patient indicates a correct understanding of the teaching?
a. "I can't wait to get the baby home to play with the brothers and sisters." b. "I will ask my mom to come after the first week, when the baby is more alert." c. "I can get the baby on a sleeping schedule the first week while my mom is here." d. "I won't be able to nap during the day because the baby will be awake."