Question 1

A client who has been undergoing stress management training asks a nurse how long practicing stress reduction should last. Which is the most appropriate nursing reply?

Accepted Answer

A) "Until this stressor has resolved." 
B) "Usually it takes several months before stress is eliminated." 
C) "Whenever you feel better, you can stop." 
D) "Managing stress is a lifelong function." 
A) "Until this stressor has resolved." 
B) "Usually it takes several months before stress is eliminated." 
C) "Whenever you feel better, you can stop." 
D) "Managing stress is a lifelong function." D

Question 2

The nurse should recognize that improvement in concentration and attention occurs with which relaxation technique?

Accepted Answer

A) Biofeedback 
B) Physical exercise 
C) Meditation 
D) Mental imagery 
A) Biofeedback 
B) Physical exercise 
C) Meditation 
D) Mental imagery C

Question 3

A nurse working for a large corporation is teaching relaxation therapy to employees. Which relaxation technique should the nurse initially teach?

Accepted Answer

A) Deep-breathing exercises 
B) Mental imagery 
C) Biofeedback 
D) Meditation 
A) Deep-breathing exercises 
B) Mental imagery 
C) Biofeedback 
D) Meditation A

Question 4

Which should a nurse recognize as the reason that physical exercise is an effective relaxation technique?

Accepted Answer

A) Physical exercise stresses and strengthens the cardiovascular system. 
B) Physical exercise decreases the metabolic rate. 
C) Physical exercise decreases levels of norepinephrine in the brain. 
D) Physical exercise provides a natural outlet for releasing muscle tension. 
A) Physical exercise stresses and strengthens the cardiovascular system. 
B) Physical exercise decreases the metabolic rate. 
C) Physical exercise decreases levels of norepinephrine in the brain. 
D) Physical exercise provides a natural outlet for releasing muscle tension.

Question 5

A nurse is caring for a client who has 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?

Accepted Answer

A) "I just need to take my blood pressure medication religiously." 
B) "The first thing I will do, will be to cut down on my smoking." 
C) "My father had six heart attacks and survived them all.I plan to do the same." 
D) "I eat well and exercise.What else do you think could have led to my heart attack?" 
A) "I just need to take my blood pressure medication religiously." 
B) "The first thing I will do, will be to cut down on my smoking." 
C) "My father had six heart attacks and survived them all.I plan to do the same." 
D) "I eat well and exercise.What else do you think could have led to my heart attack?"

Question 6

A nurse is teaching a client deep breathing exercises. The client asks, "Why do I need to make that funny shape with my lips when I breathe out?" What is the most appropriate nursing reply?

Accepted Answer

A) "You can actually exhale anyway you like; the lip shape is not important." 
B) "Pursed lip breathing helps you control the exhalation and helps to keep your airways open." 
C) "Don't worry about the lip shape; concentrate instead on the pace of your breathing." 
D) "The shape of the lip decreases the cough and choking reflex." 
A) "You can actually exhale anyway you like; the lip shape is not important." 
B) "Pursed lip breathing helps you control the exhalation and helps to keep your airways open." 
C) "Don't worry about the lip shape; concentrate instead on the pace of your breathing." 
D) "The shape of the lip decreases the cough and choking reflex."

Question 7

Which response is known to be a physiological manifestation of relaxation?

Accepted Answer

A) Increased levels of norepinephrine 
B) Pupil dilation 
C) Reduced metabolic rate 
D) Increased levels of blood sugar 
A) Increased levels of norepinephrine 
B) Pupil dilation 
C) Reduced metabolic rate 
D) Increased levels of blood sugar

Question 8

Which action should a nurse take prior to educating clients about relaxation techniques?

Accepted Answer

A) Assisting the client in identifying triggers or sources of stress 
B) Performing a physical examination to qualify the client as a candidate for this therapy 
C) Obtaining an order from the physician 
D) Educating the client's family so they can be active participants in the therapy 
A) Assisting the client in identifying triggers or sources of stress 
B) Performing a physical examination to qualify the client as a candidate for this therapy 
C) Obtaining an order from the physician 
D) Educating the client's family so they can be active participants in the therapy

Question 9

Which positive physical benefit would relaxation provide for a client who has experienced stress-related asthma?

Accepted Answer

A) Decreased neurotransmitters 
B) Decreased blood pressure 
C) Increased oxygen saturation levels 
D) Decreased alpha brain waves 
A) Decreased neurotransmitters 
B) Decreased blood pressure 
C) Increased oxygen saturation levels 
D) Decreased alpha brain waves

Question 10

A client asks a nurse what is the difference between modified (or passive) progressive relaxation and progressive relaxation. Which is the most appropriate nursing reply?

Accepted Answer

A) "There is an increased focus on deep breathing in the modified version." 
B) "Only large muscle groups are targeted in the modified version." 
C) "There is no muscle contraction in the modified version." 
D) "The modified version is for clients with preexisting cardiovascular disease." 
A) "There is an increased focus on deep breathing in the modified version." 
B) "Only large muscle groups are targeted in the modified version." 
C) "There is no muscle contraction in the modified version." 
D) "The modified version is for clients with preexisting cardiovascular disease."

Question 11

During a psychoeducational group on stress management, a client asks about meditation. Which nursing statement is most accurate regarding meditation?

Accepted Answer

A) "It is a procedure whereby various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation." 
B) "The procedure is one whereby you use your imagination to relax and reduce the tension in your body." 
C) "The purpose is to become aware of one's bodily processes and to bring them under conscious control." 
D) "The goal is to gain mastery and control over one's attention, bringing about a special state of consciousness." 
A) "It is a procedure whereby various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation." 
B) "The procedure is one whereby you use your imagination to relax and reduce the tension in your body." 
C) "The purpose is to become aware of one's bodily processes and to bring them under conscious control." 
D) "The goal is to gain mastery and control over one's attention, bringing about a special state of consciousness."

Question 12

A client who has been referred for stress management asks the nurse, "Which one of these relaxation techniques requires reimbursement from my health insurance?" Which is the appropriate nursing reply?

Accepted Answer

A) "Meditation requires reimbursement from health insurance." 
B) "Biofeedback requires reimbursement from health insurance." 
C) "Physical exercise requires reimbursement from health insurance." 
D) "Deep breathing requires reimbursement from health insurance." 
A) "Meditation requires reimbursement from health insurance." 
B) "Biofeedback requires reimbursement from health insurance." 
C) "Physical exercise requires reimbursement from health insurance." 
D) "Deep breathing requires reimbursement from health insurance."

Question 13

A client diagnosed with major depressive disorder refuses to get out of bed. Which nursing statement appropriately educates the client about the benefits of physical activity?

Accepted Answer

A) "Depression is caused by the lack of certain brain chemicals that can increase with exercise." 
B) "Physical activity is good for everyone regardless of their diagnosis." 
C) "Low-intensity exercise is more beneficial than high-impact exercise." 
D) "When you are physically active, it helps to lower your beta endorphins." 
A) "Depression is caused by the lack of certain brain chemicals that can increase with exercise." 
B) "Physical activity is good for everyone regardless of their diagnosis." 
C) "Low-intensity exercise is more beneficial than high-impact exercise." 
D) "When you are physically active, it helps to lower your beta endorphins."

Question 14

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

Accepted Answer

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." 
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."

Question 15

A nurse is teaching principles of mental imagery to a group. On which relaxing environments should the nurse appropriately recommend client focus? (Select all that apply.)

Accepted Answer

A) Visualizing the seashore 
B) Visualizing a snowy cabin 
C) Driving home from the beach on Sunday evening 
D) Floating through the air on a cloud 
E) Lying at home in front of the fireplace 
A) Visualizing the seashore 
B) Visualizing a snowy cabin 
C) Driving home from the beach on Sunday evening 
D) Floating through the air on a cloud 
E) Lying at home in front of the fireplace

Exam 14: Relaxation Therapy

A client who has been undergoing stress management training asks a nurse how long practicing stress reduction should last. Which is the most appropriate nursing reply?

The nurse should recognize that improvement in concentration and attention occurs with which relaxation technique?

A nurse working for a large corporation is teaching relaxation therapy to employees. Which relaxation technique should the nurse initially teach?

Which should a nurse recognize as the reason that physical exercise is an effective relaxation technique?

A nurse is caring for a client who has 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?

A nurse is teaching a client deep breathing exercises. The client asks, "Why do I need to make that funny shape with my lips when I breathe out?" What is the most appropriate nursing reply?

Which response is known to be a physiological manifestation of relaxation?

Which action should a nurse take prior to educating clients about relaxation techniques?

Which positive physical benefit would relaxation provide for a client who has experienced stress-related asthma?

A client asks a nurse what is the difference between modified (or passive) progressive relaxation and progressive relaxation. Which is the most appropriate nursing reply?

During a psychoeducational group on stress management, a client asks about meditation. Which nursing statement is most accurate regarding meditation?

A client who has been referred for stress management asks the nurse, "Which one of these relaxation techniques requires reimbursement from my health insurance?" Which is the appropriate nursing reply?

A client diagnosed with major depressive disorder refuses to get out of bed. Which nursing statement appropriately educates the client about the benefits of physical activity?

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

A nurse is teaching principles of mental imagery to a group. On which relaxing environments should the nurse appropriately recommend client focus? (Select all that apply.)

The Concept of Stress Adaptation

Mental Healthmental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues in Psychiatricmental Health Nursing

Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy - the Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self Esteem

Angeraggression Management

Intervention With a Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvolusive Therapy

Complementary Therapies

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

Delirium, Dementia, and Amnestic Disorders

Substance-Related Disorders

Schizophrenia and Other Psychotic Disorders

Mood Diorders: Depression

Mood Disorders: Bipolar Disorder

Anxiety Disorders

Somatoform and Disassociative Disorders

Issues Related to Human Sexuality and Gender Identity

Eating Disorders

Adjustment and Impulse Control Disorders

Personality Disorders

The Aging Individual

Victims of Abuse or Neglect

Community Mental Health Nursing

Forensic Nursing

The Bereaved Individual

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