The nurse wishes to start music therapy with an older adult client who has high anxiety and hypertension. What essential elements should be considered when music is used with this client? (Select all that apply.)
a. Assess the client's preferences in choice of music.
b. Use fast tempo music to energize and mo-tivate the client.
c. Consider rap music to provide diversion.
d. Consider live or recorded music such as music performed on a harp.
e. Consider generation-specific music.
A, D, E
In music therapy, the nurse is encouraged to provide generation-appropriate music and to eva-luate the client's preference. Live harp music may have a calming effect with anxious clients. Rap music is not generation-appropriate for older clients. Music with a fast tempo may escalate the client's anxiety and increase blood pressure.
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