The group leader is overheard saying to a gathering of patients, “Focus on your breathing once again... Notice how it is regular.... Now focus on your left arm... Notice how relaxed your left arm feels... Notice the relaxation going down the left arm to the hand.” A patient asks the nurse what the group is doing. What is the nurse’s best response?
It is imagery
It is meditation
It is group biofeedback
It is progressive relaxation training
The Correct Answer is D
Choice A reason: Imagery involves visualizing specific scenes or outcomes to reduce stress, not focusing on physical sensations like breathing or muscle relaxation. The group’s focus on body awareness and sequential relaxation aligns with progressive relaxation, making this an incorrect description.
Choice B reason: Meditation typically involves mindfulness or mental focus, not systematic physical relaxation of body parts. The group’s structured progression through breathing and muscle groups is specific to progressive relaxation training, making meditation an incorrect term.
Choice C reason: Group biofeedback uses devices to monitor physiological signals (e.g., heart rate), not verbal guidance to focus on relaxation. The described activity relies on mental focus without equipment, aligning with progressive relaxation, making biofeedback incorrect.
Choice D reason: Progressive relaxation training involves systematically tensing and relaxing muscle groups while focusing on sensations, as described (e.g., breathing, left arm). This technique reduces stress and promotes relaxation, making it the correct description of the group’s activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Storing unopened insulin in the freezer can degrade it. Refrigeration is correct, keeping insulin stable, making freezing incorrect for proper storage instructions.
Choice B reason: Rotating injection sites prevents lipodystrophy (tissue changes) by avoiding repeated trauma. This ensures consistent absorption, making it a critical instruction for insulin administration.
Choice C reason: Shaking insulin vials can damage proteins or create air bubbles, affecting efficacy. Gentle rolling is recommended for cloudy insulin, making this incorrect for proper handling.
Choice D reason: A 30-degree angle is too shallow for subcutaneous insulin; a 45–90-degree angle is standard. This incorrect technique may affect absorption, making it wrong.
Correct Answer is A
Explanation
Choice A reason: Concern about skin staining indicates the Z-track method, which prevents medication leakage into subcutaneous tissue, reducing irritation or discoloration. This technique is used for medications like iron dextran, where staining is a risk, making this the correct patient statement.
Choice B reason: Wanting to reduce injection pain does not specifically indicate Z-track, which is used to prevent leakage, not primarily pain. Other techniques (e.g., slow injection) address pain, making this statement unrelated to Z-track use.
Choice C reason: An allergy to the medication contraindicates administration, not indicates a specific technique like Z-track. The method addresses leakage, not hypersensitivity, making this statement irrelevant to the Z-track method’s purpose.
Choice D reason: Wanting fast-acting medication does not relate to Z-track, which ensures deep delivery but does not affect onset speed. Intramuscular routes generally have fixed absorption rates, making this statement unrelated to the Z-track indication.
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