The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?

Let your feelings of anger out so you can resolve the issues before they cause illness.

Use physical exercise to channel your anger in another direction.

Suppressing anger and excessively expressing anger can negatively affect the body.

Eliminate the sources of stress causing anger from your lifestyle.

Answer and Explanation

The Correct Answer is C

A. Let your feelings of anger out so you can resolve the issues before they cause illness:
While expressing anger is important, simply "letting it out" without control can lead to aggression or harmful interactions. Venting without resolution may not lead to effective emotional processing.
B. Use physical exercise to channel your anger in another direction: Physical activity can help manage anger, but this only addresses symptoms, not the underlying causes or unhealthy expression patterns. It is a useful strategy but not the most comprehensive answer.
C. Suppressing anger and excessively expressing anger can negatively affect the body: Both unexpressed and overly intense anger responses can lead to physiological stress, such as hypertension or cardiac strain. Healthy anger management involves balanced emotional awareness and controlled expression.
D. Eliminate the sources of stress causing anger from your lifestyle: Completely removing stressors is often unrealistic. A more effective approach involves learning coping strategies and emotional regulation rather than expecting to avoid all triggers.

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Correct Answer is A

Explanation

A. Left lateral: Placing the client in the left lateral decubitus position brings the heart closer to the chest wall, especially the mitral valve. This position enhances the nurse’s ability to hear low-pitched diastolic murmurs like those associated with mitral stenosis.
B. Right lateral: This position does not improve the ability to hear mitral valve sounds. It moves the heart further from the chest wall and is not used for cardiac auscultation purposes.
C. Prone: A prone position is not used for heart assessments and may interfere with effective auscultation. It compresses the chest and limits access to key valve areas.
D. Supine: While commonly used for initial heart assessments, it may not be ideal for detecting low-frequency murmurs. Certain murmurs become more audible when the client is in a specific position, such as the left lateral for mitral stenosis.

A. Pulse deficit B. Relief of pain when sitting up C. White frothy sputum D. +3 Peripheral edema

Correct Answer is B

Explanation

A. Pulse deficit: A pulse deficit can occur in both myocardial infarction (MI) and myocarditis due to arrhythmias. It is not a distinguishing feature between the two conditions.
B. Relief of pain when sitting up: Chest pain that improves when sitting up and worsens when lying down is characteristic of myocarditis or pericarditis, not MI. MI pain typically remains constant and is not position-dependent.
C. White frothy sputum: This is more indicative of pulmonary edema associated with heart failure, which can result from either MI or myocarditis, and does not help differentiate the two.
D. +3 Peripheral edema: Peripheral edema may occur with chronic heart failure but is not specific to either condition in the acute setting. It’s more associated with long-term fluid retention.

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The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse collects data for a client who is diagnosed with mitral stenosis with a murmur. In which position does the nurse place the client to auscultate the documented murmur?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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