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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hospice care is intended for clients with terminal illnesses and focuses on end-of-life comfort, not caregiver relief for chronic conditions like dementia.
Choice B reason: Cognitive enhancement therapy is a structured intervention for clients, not a support service for caregivers needing rest. It does not address the caregiver’s immediate need for relief.
Choice C reason: Respite care provides temporary relief for caregivers by offering short-term care for the client. It can be delivered in-home, through adult day programs, or in residential settings, making it the most appropriate recommendation.
Choice D reason: Long-term psychiatric hospitalization is reserved for clients with severe psychiatric conditions requiring intensive treatment. It is not a resource for caregiver breaks and would be inappropriate unless the client had acute psychiatric needs.
Correct Answer is A
Explanation
Choice A reason: Establishing goals collaboratively is a key component of the orientation phase, which sets the tone for the therapeutic alliance.
Choice B reason: Problem-solving skills are typically addressed during the working phase when behavioral interventions are introduced.
Choice C reason: Strategy incorporation is part of the working or termination phase, not the initial orientation.
Choice D reason: Readiness for discharge is assessed during the termination phase, not at the beginning of the relationship.
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