The nurse is caring for a client on a hospice unit who has been diagnosed with terminal cancer. The plan of care might include the use of which complementary therapies to help reduce the client's cancer pain? (Select all that apply.)

a. relaxation d. yoga
b. imagery e. healing touch
c. movement and exer-cise f. biofeedback


A, B, E, F
Progressive muscle relaxation, which is the alternate tensing and relaxing of muscles, is one way to achieve relaxation. Relaxation techniques are useful for clients experiencing pain or stress and for clients undergoing cognitive behavioral therapy for phobias, fears, and depression. Imagery uses the imagination to visualize a pleasant, comforting picture and draws upon one or more senses (visual, auditory, kinesthetic, gustatory, olfactory) to form images. Clients can use imagery to promote a sense of well-being and to change their perceptions about their disease, treatment, or healing ability; imagery can be combined with medication to decrease physical tension and anxiety and can distract clients from pain or discomfort. Movement and exercise promote fitness by improving muscle strength, flexibility, endurance, and cardiovascular and respiratory health. Yoga can rejuvenate, promote longevity and self-realization, and aid in self-enlightenment. Healing touch alters the person's energy field through touch and affects physical, mental, emotional, and spiritual health. Biofeedback is useful in rehabilitation settings and can enhance muscle relaxation, relieve tension headaches and backaches, reduce bruxism, lower blood pressure, and prevent or relieve migraine headaches.

Nursing

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One function of cholecystokinin is to:

a. transport bile to gallbladder b. stimulate contraction of the gallbladder wall c. synthesize albumin d. produce bilirubin

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The nurse is teaching the mother of a 10-month-old baby on the method to administer nystatin liquid as treatment for thrush. Which technique should the nurse instruct the mother to use?

A) Administer it immediately after meals. B) Give it just prior to meals for best absorption. C) Give it mixed with orange juice to disguise the taste. D) Administer it mixed with milk to decrease stomach irritation.

Nursing

The client has had several episodes of laryngitis following an upper respiratory infection. Which statement made by the client indicates the need for clarification regarding the causes and treatment of acute laryngitis?

A. "I knew I would get laryngitis this time because I cheered for hours at the ball game." B. "At the first hint of laryngitis, I whisper instead of talking in my regular voice." C. "I suck on throat lozenges to keep my mouth and throat from getting so dry." D. "When laryngitis starts, I quit smoking until all symptoms are gone."

Nursing

Rural/remote populations are more likely to have:

a. access to support services. b. better standards of care. c. more access to general practitioners. d. greater difficulty accessing basic services.

Nursing