Professional Nursing III Exam 1|PN3 Exam 1; Complete Solution Questions and Verified Answers

Document Content and Description Below

PN3 Exam 1 1. Which assessment data would prohibit the use of imagery with a client? 1. No previous history of using imagery techniques 2. States anxiety level of 6 on a 0–10 scale 3. Client f... eels reluctant to close eyes for the imagery session 4. Client has a history of psychosis 2. The nurse has determined that music therapy may be appropriate for use with a client. Which strategies should the nurse consider when choosing the music? Select all that apply. 1. Choose only music with words. 2. Choose music that is 5–7 minutes in duration. 3. Allow the client to choose music of his or her choice. 4. Encourage the client to respond to the music. 5. Ask the client not to analyze the music. 3. The nurse is using meditation with a client to help him decrease his pain. Which factor is important to consider when using this type of therapy? 1. The type of meditation is best determined by the nurse. 2. The client’s condition will influence the use of meditation. 3. Meditation is best taught when the client is in an outpatient setting. 4. A certified professional should teach the client how to perform meditation. 4. The client asks the nurse how humor therapy affects the client physiologically. Which effects should the nurse explain are attributed to laughter? Select all that apply. 1. Decreases heart rate and blood pressure 2. Increases salivary immunoglobulin A (S-IgA) 3. Produces an antagonist response to stress hormones 4. Decreases the immune response by decreasing T-lymphocytes 5. Changes temperature set point in the brain 5. The nurse decides to teach a client with hypertension the progressive relaxation technique. Which instructions should the nurse give to the client when using this relaxation method? 1. Sit in an upright position with legs crossed. 2. Place sensors on the forehead to monitor physiological activity. 3. Contract and relax the body’s muscles in groups from head to feet. 4. Monitor breathing pattern while repeating a word or phrase out loud. 6. The nurse teaches the client about massage therapy. Which statement by the client demonstrates a correct understanding of the benefits of massage? Select all that apply. 1. “Massage reduces blood clot formation.” 2. “Massage impacts lymphatic drainage.” 3. “Massage increases the lactic acid in muscle.” 4. “Massage ultimately improves blood flow.” 5. “Massage creates a sense of wakefulness.” 7. A nurse is preparing to present information to a women’s group about the cautions associated with aromatherapy. What information is appropriate to include for the audience? Select all that apply. 1. Aromatic oils are produced by a standard-quality formula. 2. The oils should be stored in dark glass containers. 3. Test for allergies by applying a small amount of oil to the skin before use. 4. Essential oils should not be used during pregnancy. 5. Production of essential oils is tightly controlled. 8. The nurse is preparing a presentation for staff about the effects of humor in nursing situations. What feedback would indicate to the nurse that the participants understand the role of humor in the healthcare setting? 1. Understanding that humor increases the social distance between people 2. Noting that humor promotes effective teaching and learning 3. Anticipating that humor fosters the expression of anger and aggression 4. Accepting that humor is ineffective as a coping mechanism 9. The nurse is evaluating the effectiveness of guided imagery for a client with preoperative anxiety. Which client statement should indicate to the nurse that the therapy has been successful? 1. “I hope that I don’t have dreams about the images we used tonight.” 2. “It is a real challenge to concentrate while I have so much on my mind.” 3. “I will need to set up some practice time for next week.” 4. “The images and exercises are selected to reduce anxiety about the surgery.” 10. The nurse is using progressive relaxation on a client who is experiencing a great deal of stress. What nursing action is necessary in order to protect the client's safety prior to the start of the session? 1. Evaluate the client’s muscle strength. 2. Determine if the client is taking sedatives. 3. Place the client in a totally supported position. 4. Obtain information regarding client allergies. 11. The nurse is teaching the client's partner how to perform a back massage on the client. Which observation by the nurse indicates that the partner understands how to perform the activity? Select all that apply. 1. The client is lying on the bed in his pajamas. 2. The client's back is being rubbed with large, circular motions. 3. The partner places the bottle of lotion in warm water prior to the massage. 4. The partner massages the client's back for 3–5 minutes. 5. The partner firmly massages reddened areas noted on the client. 12. The nurse taught the client about meditation. Which statement by the client demonstrates a correct understanding of this activity? 1. “Meditation is a technique used to quiet the mind and focus on the future.” 2. “Meditation involves self-reflection on my religious convictions.” 3. “Meditation is a pure concept with one clearly defined technique.” 4. “Meditation involves both relaxation and focus of attention.” 13. The nurse is performing an imagery session with a group of clients. What instruction should the nurse give the clients? 1. “Try to concentrate on your breathing, letting go of all your stress.” 2. “Imagine that your body is using its energy to heal itself.” 3. “Contract the muscles of your arm and then relax.” 4. “Listen to music of your choice and let the music take you away.” 14. A client is using aromatherapy to treat stress. Which assessment data indicates an allergic reaction in a client who has received an aromatherapy session? 1. Development of a rash 2. Increased skin turgor 3. Decreased pigmentation 4. Peripheral edema 15. The preoperative waiting area has soft instrumental music playing in the background. What purpose should the nurse recognize in regard to this utilization of music? Select all that apply. 1. Music produces a hypermetabolic state in the listener. 2. Music reduces the physiological stress, pain, and anxiety. 3. Music enhances the functions of the left hemisphere of the brain. 4. Music helps mask the normal noises found in the hospital setting. 5. Music without words more effectively enhances relaxation. 16. A client tells the nurse that walking causes right leg pain. The pain is described as muscle cramping or burning that subsides with rest. Based on the symptoms, the nurse supports the use of what herb? 1. Feverfew 2. Garlic 3. Ginkgo 4. Ginseng 17. A client is taking chlorpromazine. Based on the route of metabolism of this prescribed medication, the nurse is not surprised to learn the client uses which herb? 1. Valerian root 2. Ginger 3. Milk thistle 4. Hawthorn 18. Which therapeutic change in laboratory values would the nurse anticipate in the client taking garlic? 1. Increased platelet aggregation 2. Increased white blood cell count 3. Decreased serum cholesterol levels 4. Decreased serum glucose levels 19. The female client tells the nurse that she is planning a pregnancy soon. In providing client education about the use of herbs during pregnancy, which statement by the nurse is most appropriate? 1. “Most herbs are safe when taken as directed.” 2. “Only herbs in the topical form are safe.” 3. “Certain herbs are safe and effective when taken in lower doses.” 4. “You should discuss the [Show More]

Last updated: 2 years ago

Preview 1 out of 14 pages