The patient, a busy executive who works 80 hours a week, is admitted for angina. The patient is demonstrating physical signs of stress related to the work environment
An appropriate nursing intervention for this patient includes releasing muscle tension every 2 hours. This type of inter-vention is best known as: a. regular exercise.
b. assertiveness training.
c. cognitive therapy.
d. progressive muscle relaxation.
D
Muscles tense in the presence of anxiety-provoking thoughts and events. With progressive muscle relaxation physiological tension diminishes through a systematic approach to releasing tension in major muscle groups. A regular exercise program improves muscle tone and posture, controls weight, reduces tension, improves circulation, triggers release of endorphins, and promotes relaxation. Assertiveness training teaches individuals to communicate effectively regarding their needs and desires. The ability to resolve conflict with others through assertiveness training reduces stress.
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A) Gravity pulls blood to the lower extremities while sitting. B) Blood is being diverted to the gastrointestinal tract. C) Decreased peripheral blood flow results. D) Bronchospasms are increased when food enters the stomach.
A nurse is assessing a patient 20 minutes after a bone marrow biopsy. Which statement by the patient is cause for the most concern?
a. "There is fresh blood on my dressing." b. "I am thirsty." c. "My hip feels bruised where they stuck the needle." d. "I had a sharp pain in my leg when they pulled the needle out."
What is increased in hypertension that in turn causes an increase in the work of the heart?
a. Preload b. Stroke volume c. Contractility d. Afterload
An expectant mother has reached 41 weeks' gestation. She is anxious and upset because her baby has not been delivered. The nurse reassures her and explains:
a. There are no risks to the baby because it is late b. Both she and the baby will be monitored closely c. The baby will be healthier because is it was in utero longer d. Her baby will not need to be monitored as closely as term babies