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TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity a. “Imagine others treating you the way they should, the way you want to be treated …” b. “With each breath, you feel 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 …”

3. The nurse wishes to use guided imagery to help a patient relax. Which comments would be appropriate to include in the guided imagery script? (Select all that apply.)

ANS: 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.

PTS: 1 DIF: Cognitive Level: Apply (Application)

REF: Pages 10-16, 40 (Box 10-3) TOP: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity a. Headache b. Neck pain c. Insomnia d. Anorexia e. Myopia

4. An individual says to the nurse, “I feel so stressed out lately. I think the stress is affecting my body also.” Which somatic complaints are most likely to accompany this feeling? (Select all that apply.)

ANS: A, B, C, D

When individuals feel “stressed-out,” they often have accompanying somatic complaints, especially associated with sleep, eating, and headache or back pain. Changes in vision, such as myopia, would not be expected.

PTS: 1 DIF: Cognitive Level: Apply (Application)

REF: Pages 10-7, 29 (Table 10-1) TOP: Nursing Process: Assessment

MSC: Client Needs: Psychosocial Integrity