A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?

"Keep your eyes on your feet when ascending or descending the stairs."

"Maintain your arms in a slightly bent position when using the handrails."

"Move your right leg forward as you lower yourself to the next step."

"Support yourself with the handrail when transferring to or from the stairs."

Answer and Explanation

The Correct Answer is B

Choice A reason: This is not the correct answer because it distracts the client from the surroundings and could cause loss of balance or coordination.

Choice B reason: This is the correct answer because it enables the client to use the handrails as a support and reduces the stress on the arms and shoulders.

Choice C reason: This is not the correct answer because it creates an uneven distribution of weight and could cause instability or pain.

Choice D reason: This is not the correct answer because it requires the client to shift the body weight abruptly and could cause muscle strain or joint damage.

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Correct Answer is D

Explanation

Choice A reason: This is incorrect because listening to music is not a form of guided imagery, but a form of distraction, which may or may not be effective for pain management.

Choice B reason: This is incorrect because noticing the sensation of muscle tension is not a form of guided imagery, but a form of mindfulness, which may help with pain awareness, but not necessarily with pain relief.

Choice C reason: This is incorrect because using focused breathing is not a form of guided imagery, but a form of relaxation, which may help with pain reduction, but not with pain transformation.

Choice D reason: This is correct because thinking about a pleasant and meaningful place is a form of guided imagery, which involves using the imagination to create a positive and vivid sensory experience that can alter the perception of pain.

A. Talk at a rapid rate. B. Use short phrases. C. Decrease background noise. D. Speak in a loud voice.

Correct Answer is C

Explanation

Choice A reason: Talking at a rapid rate is not a good action to promote communication with a client who has hearing loss. Talking too fast can make it harder for the client to follow the conversation, lip-read, or use hearing aids. The nurse should talk at a normal rate and pause between sentences.

Choice B reason: Using short phrases is not a good action to promote communication with a client who has hearing loss. Using short phrases can make the message unclear, incomplete, or condescending. The nurse should use complete sentences and avoid jargon, slang, or abbreviations.

Choice C reason: Decreasing background noise is a good action to promote communication with a client who has hearing loss. Background noise can interfere with the client's ability to hear and understand the nurse. The nurse should reduce or eliminate any sources of noise, such as TV, radio, or other people, and choose a quiet and well-lit place to talk.

Choice D reason: Speaking in a loud voice is not a good action to promote communication with a client who has hearing loss. Speaking too loud can distort the sound, cause discomfort, or offend the client. The nurse should speak in a clear and natural voice and adjust the volume according to the client's feedback.

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A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

Correct Answer is D

Explanation

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?

Correct Answer is C

Explanation

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