Exam (elaborations)
Chapter 41. Relaxation Therapy
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 41. Relaxation Therapy
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Chapter 41. Relaxation TherapyMULTIPLE CHOICE
1. A client asks the nurse to explain the difference between modified (or passive)
progressive relaxation and progressive relaxation. Which is the most appropriate nursing
reply?
1. “There is an increased focus on deep breathing in the modified version.”
2. “Only large muscle groups are targeted in the modified version.”
3. “There is no muscle contraction in the modified version.”
4. “The modified version is for clients with preexisting
cardiovascular disease.”
ANS: 3
Chapter: Chapter 41, Relaxation Therapy
Objective: Describe the role of the nurse in relaxation
therapy. Page: 924
Heading: Methods of Achieving Relaxation > Modified (or
Passive) Progressive
Relaxation
Integrated Processes: Teaching and Learning Client Need:
Health Promotion and Maintenance Cognitive Level:
Knowledge [Remembering] Concept: Health Promotion
Difficulty: Moderate
Feedback ab
1. This is incorrect. In modified (or passive) progressive relaxation, the muscles are not
tensed before relaxing them. The modified version does not put an increased focus
on deep breathing.
2. This is incorrect. In modified (or passive) progressive relaxation, the muscles are
noat bi tensed before relaxing them. The modified version does not target only large
muscle groups.
3. This is correct. In modified (or passive) progressive relaxation, the muscles are not CON: Health Promotion
tensed before relaxing them.
4. This is incorrect. In modified (or passive) progressive relaxation, the muscles are
noat bi
tensed before relaxing them. All clients, not just those with preexisting
cardiovascular disease, can benefit from the modified version.
,Townsend PMHN, 10e Chapter 41 - ETB
2. 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?
1. “To ensure improved health, we need to discuss diet,
medication, exercise, and lifestyle changes before you are
discharged.”
2. “You will not be allowed to leave the hospital without getting
your physician’s
approval for early discharge.”
3. “We will discharge you quickly so that the stress you are
experiencing will not cause more serious heart damage.”
4. “Prior to discharge, we will need to discuss job stress, your
finances, and the
possibility of an early retirement.”
ANS: 1
Chapter: Chapter 41, Relaxation Therapy
Objective: Describe the role of the nurse in relaxation therapy.
Page: 927
Heading: The Role of the Nurse in Relaxation Therapy >
Outcome
Identification/Implementation
Integrated Processes: Nursing Process: Implementation Client
Need: Health Promotion and Maintenance Cognitive Level:
Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback ab
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. ab
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. ab
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 ab
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
abi
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
, Townsend PMHN, 10e Chapter 41 - ETB
retirement.
CON: Health Promotion
3. The nurse is caring for a client who suffered a stress-related
myocardial infarction. Which client statement indicates that the
client is ready to learn about the relationship of stress to physical
illness?
1. “I just need to take my blood pressure medication religiously.”
2. “The first thing I will do is cut down on my smoking.”
3. “My father had six heart attacks and survived them all. I plan to
do the same.”
4. “I eat well and exercise. What else do you think could have led
to my heart attack?”
ANS: 4
Chapter: Chapter 41, Relaxation Therapy
Objective: Describe the role of the nurse in relaxation therapy.
Page: 922
Heading: The Stress Epidemic
Integrated Processes: Nursing Process: Assessment Client Need:
Health Promotion and Maintenance Cognitive Level: Analysis
[Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. This is incorrect. The client’s correct statement indicates an understanding that diet
and exercise influence health. Asking about causative factors reflects the client’s
readiness to learn how to prevent further illness and complications. The client’s ab
incorrect statement shows a lack of understanding of the need to do more than
CON:medication
Health compliance to prevent future heart attacks.
2.
Promotionis incorrect. The client’s correct statement indicates an understanding that diet
This
and exercise influence health. Asking about causative factors reflects the client’s
readiness to learn how to prevent further illness and complications. The client’s ab
incorrect statement shows a lack of understanding of the role any amount of smoking
has in increasing the risk of future heart attacks.
3. This is incorrect. The client’s correct statement indicates an understanding that diet
and exercise influence health. Asking about causative factors reflects the client’s ab
readiness to learn how to prevent further illness and complications. The client’s
incorrect statement shows a lack of understanding of the role family history has in
increasing the risk of future (possibly fatal) heart attacks.
4. This is correct. The client’s statement indicates an understanding that diet and
exercise influence health. Asking about causative factors reflects the client’s ab
readiness to learn how to prevent further illness and complications.
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