The nurse teaches the patient progressive self-relaxation techniques. Which should the nurse implement first?
a. Direct the patient to envision sailing on a sailboat.
b. Instruct the patient to increase respiratory rate and depth.
c. Establish the patient's ability to participate and cooperate.
d. Darken the patient's room significantly and close the door.
C
The nurse begins by assessing the patient's ability to participate and cooperate to tailor the teaching techniques and vocabulary to him or her. This increases the likelihood of the patient benefiting from the instruction. Envisioning pleasant things is part of teaching guided imagery but is not the initial step. After assessing the patient, the nurse provides a brief overview of the technique and sets a proper learning environment. Deep respirations are an indication of relaxa-tion; however, instructing a patient to breathe in a certain way does not induce relaxation.
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