A nurse is assessing a client who has been receiving massage therapy as a manipulative and body-based therapy for chronic neck pain. Which of the following statements by the client indicates a positive outcome of massage therapy?

The correct answer is

A. "I feel more relaxed and less tense after the massage."

Choice A reason: "I feel more relaxed and less tense after the massage." This is a positive outcome of massage therapy, as it indicates that the massage has reduced the stress and muscle tension that may contribute to neck pain. Massage therapy may also stimulate the release of endorphins and other neurochemicals that can enhance the mood and sense of well-being.

Choice B reason: "I have more energy and less fatigue after the massage." This is not a specific outcome of massage therapy for chronic neck pain, although it may be a general benefit of massage therapy for overall health and wellness. Massage therapy may improve blood circulation and oxygen delivery, which can boost energy levels and reduce fatigue.

Choice C reason: "I have more mobility and less stiffness in my neck after the massage." This is not a consistent outcome of massage therapy for chronic neck pain, although it may be a possible benefit for some patients. Massage therapy may increase the range of motion and joint space, which can improve mobility and reduce stiffness. However, the evidence for this effect is not strong or conclusive.

Choice D reason: "I have more confidence and less depression after the massage." This is not a direct outcome of massage therapy for chronic neck pain, although it may be an indirect benefit of massage therapy for mental health. Massage therapy may reduce anxiety, depression, and negative emotions, and increase self-esteem, self-awareness, and coping skills.

The correct answer is

D. All of the above. Meditation involves various actions that can help a person cope with stress and anxiety, such as:

Choice A reason: Focusing attention on a word, phrase, object, or breathing. This is one of the common actions of meditation, especially in focused attention meditation, where the person concentrates on a single point of reference, such as a mantra, a candle flame, or the sensation of the breath. This can help calm the mind and reduce distractions.

Choice B reason: Inducing a state of deep relaxation and altered consciousness. This is another possible action of meditation, especially in relaxation exercises, such as progressive muscle relaxation or body scan meditation, where the person systematically relaxes different parts of the body and becomes more aware of their physical sensations. This can help lower the heart rate, blood pressure, and muscle tension.

Choice C reason: Enhancing awareness and acceptance of thoughts and feelings. This is yet another action of meditation, especially in mindfulness meditation, where the person observes their thoughts and emotions without judging or reacting to them. This can help foster a more positive and compassionate attitude towards oneself and others.

Choice D reason: All of the above. Meditation can involve all of these actions, depending on the type and purpose of the practice. Therefore, this is the correct answer.