A nurse in a long-term care facility is planning to use therapeutic touch for a group of selected clients who have chronic pain. The nurse should identify that the use of therapeutic touch is contraindicated for which of the following clients?

A client who has chronic back pain and a history of physical maltreatment

A client who has chronic joint discomfort and a history of mild dementia

A client who has chronic knee pain and a history of grand mal seizures

A client who has chronic hip pain and a history of uterine cancer

Answer and Explanation

The Correct Answer is A

A. A client who has chronic back pain and a history of physical maltreatment: Therapeutic touch involves close physical proximity and intentional hand movements, which may trigger psychological distress or trauma responses in individuals with a history of maltreatment.

B. A client who has chronic joint discomfort and a history of mild dementia: Clients with mild dementia may still tolerate therapeutic touch well, as it can provide comfort and reduce agitation. With careful explanation and reassurance, this intervention can be beneficial.

C. A client who has chronic knee pain and a history of grand mal seizures: Therapeutic touch does not induce seizures, as it is a noninvasive energy-based practice. It does not increase seizure risk in clients with a seizure history.

D. A client who has chronic hip pain and a history of uterine cancer: Having a history of cancer is not a contraindication to therapeutic touch. This approach does not involve deep tissue manipulation and can be safely applied to provide comfort and pain relief.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Cover your nose and mouth with a tissue when coughing.": Covering both the nose and mouth with a tissue prevents respiratory droplets from spreading into the environment, reducing transmission of influenza to others. Proper disposal of the tissue and hand hygiene should follow.

B. "If you are coughing frequently, you should wear gloves when preparing meals.": Gloves are not a primary measure for cough etiquette. Hand hygiene and avoiding food preparation while symptomatic are more effective in preventing the spread of influenza.

C. "Stay 2 feet away from others when coughing.": Droplet precautions for influenza recommend maintaining at least 3 feet of distance, and ideally up to 6 feet, to prevent exposure. Two feet is inadequate to protect others from respiratory droplets.

D. "Turn your head away when coughing.": Turning the head alone does not sufficiently contain respiratory secretions. Droplets can still disperse into the air, so using a tissue or the elbow crease is more effective.

A. "I should breathe normally while I am performing this relaxation technique." B. "I should imagine myself in a peaceful, garden-like setting as I begin." C. "I'll compare the sensations I feel when I tense my muscles to what I feel when I relax them." D. "I'll use a series of stretches when I practice this technique."

Correct Answer is C

Explanation

A. "I should breathe normally while I am performing this relaxation technique.": Progressive relaxation often involves focused, deep, and controlled breathing to enhance muscle relaxation. Simply breathing normally may not maximize the effectiveness of the technique.

B. "I should imagine myself in a peaceful, garden-like setting as I begin.": Visualizing a calming scene is a technique used in guided imagery, not progressive muscle relaxation. While relaxation may result, this reflects a different stress-reduction method.

C. "I'll compare the sensations I feel when I tense my muscles to what I feel when I relax them.": Progressive relaxation involves systematically tensing and then relaxing specific muscle groups while focusing on the contrast in sensations.

D. "I'll use a series of stretches when I practice this technique.": Stretching is part of physical exercise routines and differs from progressive relaxation. The focus in progressive relaxation is on controlled tension and release of muscle groups, not performing stretches.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a long-term care facility is planning to use therapeutic touch for a group of selected clients who have chronic pain. The nurse should identify that the use of therapeutic touch is contraindicated for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about cough etiquette to a client who has influenza. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client to manage stress by using progressive relaxation techniques. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has terminal cancer. The client begins to cry and says, "I am afraid of dying." Which of the following responses should the nurse make?

A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.)

The following two graphic loops show which of the following conditions?

A nurse is preparing to administer an opioid medication to a client who is experiencing pain. Which of the following actions should the nurse take?

A nurse is caring for a client who is recovering from a bronchoscopy. Select the area the nurse should assess before giving the client ice chips or fluids. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A nurse on the medical-surgical unit is planning care for a male client after reviewing their electronic health record (EHR). Exhibits Which of the following provider prescriptions should the nurse anticipate receiving to implement in the client's plan of care? Select 3 provider prescriptions.

A nurse is caring for a client who had a stroke and is immobile. Which of the following actions should the nurse take to maintain the client's skin integrity?

A nurse is caring for a client who is disoriented and is continuously getting out of bed. Which of the following actions should the nurse take? (Select all that apply.)