A nurse is teaching a client who has post-traumatic stress disorder (PTSD) about using mindfulness to manage stress. Which of the following statements by the client indicates an understanding of the teaching?

"I will focus on pleasant images to distract myself from feeling stressed."

"I will concentrate on what I am feeling, seeing, and hearing in the moment."

"I will progressively relax my muscles from my face to my toes."

"I will use my smartwatch to track my sleep patterns and heart rate."

Answer and Explanation

The Correct Answer is B

Choice A reason: Distraction is a coping strategy, but it is not mindfulness. Mindfulness involves engaging with the present moment rather than avoiding it.

Choice B reason: This reflects core mindfulness principles—nonjudgmental awareness of present sensations and experiences. It helps reduce PTSD symptoms by grounding the client in the here and now.

Choice C reason: Progressive muscle relaxation is a useful technique but is not the same as mindfulness. It is a relaxation strategy rather than a present-moment awareness practice.

Choice D reason: Using a smartwatch for tracking is a helpful adjunct but does not reflect mindfulness practice. It is a monitoring tool, not a therapeutic intervention.

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Correct Answer is B

Explanation

Choice A reason: Inhaling through the mouth and exhaling rapidly is not recommended; slow, diaphragmatic breathing through the nose is more effective for stress reduction.
Choice B reason: Focusing on the movement of abdominal muscles during breathing reflects proper diaphragmatic technique and body awareness.
Choice C reason: Holding the breath for extended periods may cause discomfort or hyperventilation in stressed individuals.
Choice D reason: Focusing on stressors during the exercise may increase anxiety rather than promote relaxation.

A. A client did not receive prescribed medication yesterday. B. A client who became aggressive despite limit-setting on their behavior. C. A client who missed their therapy session. D. A client who has major depressive disorder and refuses to leave their room.

Correct Answer is A

Explanation

Choice A reason: Failure to administer prescribed medication is a medication error and must be documented through an incident report. This ensures accountability, promotes safety, and initiates corrective action to prevent recurrence.

Choice B reason: Aggressive behavior may be part of the client’s psychiatric presentation. Unless it results in harm or requires emergency intervention, it may not meet the threshold for an incident report unless facility policy dictates otherwise.

Choice C reason: Missing a therapy session is not typically considered an incident unless it results in harm or is part of a pattern requiring intervention. It should be documented in progress notes, not an incident report.

Choice D reason: Refusal to leave the room may indicate worsening depression but does not constitute an incident unless it leads to harm or safety concerns. It should be addressed in the care plan.

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A nurse is teaching a client who has post-traumatic stress disorder (PTSD) about using mindfulness to manage stress. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

Explanation

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