Question 1

After suffering a myocardial infarction, a 37-year-old executive demands premature discharge from the hospital. The client tells the nurse, "Just give me my prescriptions and let me get back to work." Which is the most appropriate nursing reply?

A) "To ensure improved health, we need to discuss diet, medication, exercise, and lifestyle changes before you are discharged."
B) "You will not be allowed to leave the hospital without getting your physician's approval for early discharge."
C) "We will discharge you quickly so that the stress you are experiencing will not cause more serious heart damage."
D) "Prior to discharge, we will need to discuss job stress, your finances, and the possibility of an early retirement."

"To ensure improved health, we need to discuss diet, medication, exercise, and lifestyle changes before you are discharged."

Accepted Answer

1.This is correct. Implementation of nursing actions has a strong focus on the role of educator. The immediate goal for nurses working with individuals needing assistance with stress management is to help those individuals achieve their highest potential for wellness by minimizing current maladaptive symptoms.
2.This is incorrect. Implementation of nursing actions has a strong focus on the role of educator. The immediate goal for nurses working with individuals needing assistance with stress management is to help those individuals achieve their highest potential for wellness by minimizing current maladaptive symptoms. The client does not need to have a physician's approval for early discharge.
3.This is incorrect. Implementation of nursing actions has a strong focus on the role of educator. The immediate goal for nurses working with individuals needing assistance with stress management is to help those individuals achieve their highest potential for wellness by minimizing current maladaptive symptoms. A quick discharge would mean that the client would not have the opportunity to get essential education.
4.This is incorrect. Implementation of nursing actions has a strong focus on the role of educator. The immediate goal for nurses working with individuals needing assistance with stress management is to help those individuals achieve their highest potential for wellness by minimizing current maladaptive symptoms. The critical education that the client needs will concentrate on diet, medications, exercise and lifestyle changes, not on reversing job stress or discussing finances or early retirement.

Question 2

During a group workshop on stress management techniques, a client asks about meditation. Which nursing statement is most accurate regarding meditation?&#10;A) &#34;Meditation is a procedure in which various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation.&#34;&#10;B) &#34;Meditation uses your imagination to relax and reduce the tension in your body.&#34;&#10;C) &#34;The purpose of meditation is to become aware of one's bodily processes and to bring them under conscious control.&#34;&#10;D) &#34;The goal of meditation is to gain mastery and control over one's attention, bringing about a special state of consciousness.&#34;&#10;

Accepted Answer

1.This is incorrect. Meditation facilitates relaxation by helping the individual develop awareness of the present moment. Learning how to become more aware in the present is foundational to relaxation, problem-solving, and behavioral change. A "procedure in which various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation" describes the technique of progressive relaxation.
2.This is incorrect. Meditation facilitates relaxation by helping the individual develop awareness of the present moment. Learning how to become more aware in the present is foundational to relaxation, problem-solving, and behavioral change. Using "your imagination to relax and reduce the tension in your body" describes the technique of mental imagery.
3.This is incorrect. Meditation facilitates relaxation by helping the individual develop awareness of the present moment. Learning how to become more aware in the present is foundational to relaxation, problem-solving, and behavioral change. "To become aware of one's bodily processes and to bring them under conscious control" describes the purpose of biofeedback. 
4.This is correct. Meditation facilitates relaxation by helping the individual develop awareness of the present moment. Learning how to become more aware in the present is foundational to relaxation, problem-solving, and behavioral change.

Question 3

A client who has been referred for stress management education asks the nurse, &#34;What information does the Recent Life Changes Questionnaire provide?&#34; Which answer is the appropriate nursing reply?&#10;A) Identification of events producing beta activity in the brain&#10;B) Correlation of risk of physical or psychological illness with stress levels&#10;C) Measurement of the amount of stress relief to be gained by lifestyle changes&#10;D) Focus on new experiences to increase alpha activity in the muscles&#10;

Accepted Answer

1.This is incorrect. The Recent Life Changes Questionnaire provides information about the correlation of risk of physical or psychological illness with stress levels. It does not provide information about events producing beta activity in the brain.
2.This is correct. The Recent Life Changes Questionnaire provides information about the correlation of risk of physical or psychological illness with stress levels.
3.This is incorrect. The Recent Life Changes Questionnaire provides information about the correlation of risk of physical or psychological illness with stress levels. It does not measure the amount of stress relief to be gained by lifestyle changes.
4.This is incorrect. The Recent Life Changes Questionnaire provides information about the correlation of risk of physical or psychological illness with stress levels. It does not focus on new experiences to increase alpha activity in the muscles; alpha activity is located in the brain.

Question 4

A nursing student read a textbook chapter about the therapeutic strategy of a psychosocial therapy. The author suggested a spoken script, responding as a "broken record," repeating a statement again and again as needed. Which psychosocial therapy is being described?

A) Assertiveness training
B) Relaxation therapy
C) Cognitive behavior therapy
D) Chiropractic exercises

Accepted Answer

1.This is correct. A technique taught in assertiveness training is responding as a "broken record."
2.This is incorrect. A technique taught in assertiveness training is responding as a "broken record." Relaxation therapy applies to the mind and body, and it does not have spoken scripts.
3.This is incorrect. A technique taught in assertiveness training is responding as a "broken record." Cognitive behavior therapy teaches the individual to control mood disorder thought distortions. It does not have spoken scripts.
4.This is incorrect. A technique taught in assertiveness training is responding as a "broken record." Chiropractic exercises move the body and do not have spoken scripts.

Question 5

Chinese physicians prescribed several complementary therapies more than 5000 years ago. Which therapy is based on the theory that health energy flows along meridians in the body?&#10;A) Acupuncture treatments&#10;B) Massage movements&#10;C) Herbal remedies&#10;D) Chiropractic manipulations&#10;

Accepted Answer

1.This is correct. Acupuncture treatments are based on the theory that health energy flows along meridians in the body.
2.This is incorrect. Acupuncture treatments are based on the theory that health energy flows along meridians in the body. Massage movements work on the muscles and soft tissues of the body.
3.This is incorrect. Acupuncture treatments are based on the theory that health energy flows along meridians in the body. Herbal remedies are ingested similarly to oral medications.
4.This is incorrect. Acupuncture treatments are based on the theory that health energy flows along meridians in the body. Chiropractic manipulations work on the vertebrae of the spinal column.

Deck 22: Relaxation Therapy, Complementary and Psychosocial Therapies