A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?
“Meditation alters the chemical composition of pain neuroregulators, which closes the gate.”
“Meditation stops the occurrence of pain stimuli.”
“Meditation will help me sleep through the pain because it opens the gate.”
“Meditation controls pain by blocking pain impulses from coming through the gate.”
The Correct Answer is D
Choice A reason: Meditation does not alter the chemical composition of pain neuroregulators. The gate control theory posits that non-painful stimuli, like meditation, modulate pain signals in the spinal cord. This statement inaccurately describes the mechanism, as meditation affects neural gating, not chemical changes, making it incorrect.
Choice B reason: Meditation does not stop pain stimuli from occurring; it modulates pain perception. The gate control theory explains how cognitive techniques like meditation reduce pain signal transmission, not eliminate the stimulus. This statement misrepresents the theory’s mechanism, making it an incorrect reflection of understanding.
Choice C reason: Meditation does not open the pain gate or promote sleeping through pain. The gate control theory suggests meditation closes the gate, reducing pain signals. Opening the gate would increase pain perception, contradicting the theory’s principles, making this an incorrect understanding of meditation’s role.
Choice D reason: Meditation controls pain by blocking pain impulses, as per the gate control theory. It activates non-painful stimuli, closing the spinal “gate” to reduce pain signal transmission to the brain. This statement accurately reflects how meditation modulates pain perception, demonstrating correct understanding of the theory.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Self-care deficit addresses physical inability to perform daily tasks, not psychological issues from sensory impairments. Hearing and visual loss primarily impact communication, leading to socialization issues. Assuming self-care deficit misaligns the diagnosis, risking neglect of psychological needs like social isolation, critical for mental health in sensory-impaired patients.
Choice B reason: Risk for falls is a physical safety concern due to sensory impairments but not psychological. Impaired socialization better addresses the psychological impact of communication barriers. Prioritizing falls risks overlooking social isolation, delaying interventions like communication aids, essential for mental well-being in patients with hearing and visual deficits.
Choice C reason: Impaired socialization, a psychological nursing diagnosis, reflects the communication barriers from hearing and visual impairments, leading to social isolation and emotional distress. This diagnosis guides interventions like assistive devices or support groups, critical for mental health, ensuring patients maintain social connections and emotional resilience despite sensory challenges.
Choice D reason: Impaired physical mobility relates to movement limitations, not psychological effects of sensory impairments. Hearing and visual loss primarily cause socialization issues, not mobility deficits. Assuming mobility misdirects care, neglecting psychological needs like social engagement, critical for preventing isolation and supporting mental health in sensory-impaired patients.
Correct Answer is A
Explanation
Choice A reason: Stage 4 NREM (deep sleep) is characterized by slow delta brain waves, making the patient difficult to awaken. This stage promotes physical restoration, with minimal responsiveness to stimuli. The assessment finding aligns with the physiological state of deep sleep, making it the correct indicator for stage 4 NREM.
Choice B reason: Elevated vital signs are not typical of stage 4 NREM, where metabolic rate and heart rate decrease due to deep relaxation. Elevated vital signs may occur in REM or lighter sleep stages, making this finding inconsistent with the characteristics of deep NREM sleep.
Choice C reason: Easily awakening occurs in lighter NREM stages (1 or 2), not stage 4, which is the deepest sleep phase. Patients in stage 4 require significant stimuli to rouse, so this finding contradicts the expected state of deep sleep, making it incorrect.
Choice D reason: Rapid eye movement is specific to REM sleep, not NREM. Stage 4 NREM involves slow brain waves and no eye movement, focusing on physical restoration. This finding is characteristic of a different sleep phase, making it an incorrect indicator for stage 4 NREM.
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