The nurse wishes to use guided imagery to help her patient relax. Which comment would be appropriate to include in the guided imagery script? Select all that apply
a. "Imagine others treating you the way they should, the way you want to be treated…"
b. "With each breath, you are feeling calmer, more relaxed, almost as if you are floating…"
c. "You are alone on a beach, the sun is warm, and you hear only the sound of the surf…"
d. "You have taken control, nothing can hurt you now, everything is going your way…"
e. "You have grown calm, your mind is still, there is nothing to disturb your well-being…"
f. "You will feel better as work calms down, as your boss becomes more understanding…"
B, C, E
The intent of guided imagery to assist patients manage stress is to lead the patient to envision images that are calming and health enhancing. Statements that involve the patient calming progressively with breathing, feeling increasingly relaxed, being in a calm and pleasant location, being away from stressors, and having a peaceful and calm mind are therapeutic and should be included in the script. However, items that raise stressful images or memories or that involve unrealistic expectations or elements beyond the patient's control (e.g., that others will treat the patient as he desires, that everything is going the patient's way, that bosses are understanding) interfere with relaxation and/or do not promote effective coping. Thus these are not health promoting and should not be included in the script.
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The nurse has instructed a group of parents on common adolescent behavior. Which comment by the parent would indicate the most urgent need for further discussion?
1) "I guess my daughter won't be asking my opinion very much." 2) "I'm really going to watch my daughter's eating habits." 3) "We are really going to have to think about rules we want to enforce after he gets his driver's license." 4) "We don't keep alcohol in the house, so that's at least one thing we don't need to worry about."
Daily toothbrushing and flossing can be encouraged for the child on chemotherapy when the platelet count is above which?
a. 10,000/mm3 b. 20,000/mm3 c. 30,000/mm3 d. 40,000/mm3
A nurse is assessing the family dynamics of a neonate that is HIV-positive. The nurse would conclude that the family is adapting to the needs of the infant if the nurse observed the family:
a. Verbalizing their feelings about their role in the infant's care b. Allowing the staff to provide total care of their infant c. Denying the need of help from external resources d. Being withdrawn and minimizing interaction with the infant