Which modality would be least helpful to include in the plan of care for a client who is being treated
for severe chronic low back pain?
a. Biofeedback, to promote relaxation of muscle groups and relief of tension that
aggravates pain
b. Guided imagery, as a way of deepening relaxation and desensitizing the client to
pain
c. Hypnosis, to achieve a state of resting alertness and the ability to block out
painful sensations
d. Psychoanalytic psychotherapy, to develop insight about the underlying
psychological reasons for the symptom
D
Analytic therapy has been found to be largely ineffective in helping clients cope with chronic pain.
Supportive therapy, behavior therapy, cognitive therapy, and antidepressants have proved helpful, as
have the modalities listed in options A, B, and C.
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A nurse is caring for a 45-kg (99-lb) child undergoing a water deprivation test. At a routine assessment during the test, the nurse notes the child's weight at 42 kg. Which action by the nurse takes priority?
A. Allows the child to have clear liquids, like broth B. Documents the findings and continues to monitor C. Increases the rate of the IV fluid infusion by 5% D. Notifies the health-care provider immediately
Which of the following blood pressure readings would the nurse identify as Stage 1?
1. 118/78 mm Hg 2. 136/86 mm Hg 3. 146/96 mm Hg 4.168/102 mm Hg
You are caring for a client who feels hopeless and is experiencing overwhelming fatigue. Which is the most appropriate nursing intervention to increase the client's level of physical activity?
1. Carefully choose activities that are consistent with the client's energy level. 2. Plan daily aerobic exercises. 3. Wait until the client is ready to do physical exercises. 4. Refer the client to counseling so the client feels less hopeless.
Although J.F. is recovering nicely, she is becoming increasingly withdrawn. You enter herroom and find her crying. She tells you that she is all alone here, that she misses her familyterribly
You know that her son is flying into town tomorrow but will only be able to stay a few days. What can be done so that J.F. benefits from her family support system?