The nurse tells a joke to a 12-year-old to distract him from a painful procedure. What pain management technique is the nurse using?
Relaxation
Distraction
Imagery
Thought stopping
The Correct Answer is B
A. Relaxation: Relaxation involves techniques such as deep breathing, progressive muscle relaxation, or guided imagery to reduce muscle tension and anxiety. It focuses on calming the body rather than diverting attention through external engagement like humor.
B. Distraction: Telling a joke is a form of distraction, which redirects the child’s attention away from pain or anxiety to something enjoyable or amusing. Distraction reduces the perception of pain by engaging cognitive and emotional focus on another stimulus.
C. Imagery: Imagery involves encouraging the child to visualize a pleasant scene or activity to promote relaxation and reduce pain perception. Unlike distraction, it relies on mental visualization rather than external stimuli such as conversation or humor.
D. Thought stopping: Thought stopping helps clients consciously interrupt negative or distressing thoughts by substituting them with positive affirmations or neutral cues. It does not involve humor or external engagement during procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Do you like your new school?": This question invites only a yes-or-no response and provides limited information. It does not encourage the child to elaborate on specific experiences or interactions that might be affecting adjustment.
B. "Are you happy with your teacher?": While this question addresses one aspect of the school environment, it is also close-ended and may not fully reveal the child’s feelings or experiences related to school adjustment.
C. "Do you enjoy reading a book?": This question focuses on a specific activity rather than the broader social and emotional adjustment to school. It does not assess interactions with peers or the classroom environment.
D. "What are your new classmates like?": This open-ended question encourages the child to describe social relationships and peer interactions, which are key factors in school adjustment at this age. It provides valuable insight into the child’s feelings, social adaptation, and possible sources of stress or comfort.
Correct Answer is C
Explanation
A. Pap test: A Pap test screens for cervical cancer by detecting abnormal cervical cells. It cannot diagnose endometriosis because the condition involves endometrial tissue growing outside the uterus, not within the cervix.
B. Abdominal ultrasound: While an ultrasound can help identify ovarian cysts or endometriomas, it cannot definitively confirm endometriosis. Ultrasound imaging may miss small or deep lesions that are only visible during direct visualization.
C. Laparoscopy: Laparoscopy is the gold standard for diagnosing endometriosis. It allows direct visualization of endometrial implants and adhesions in the pelvic cavity, and tissue samples can be taken for biopsy to confirm the diagnosis.
D. Hysterosalpingogram: This imaging test evaluates the shape of the uterine cavity and patency of the fallopian tubes using contrast dye. It is primarily used in infertility assessments, not for diagnosing endometriosis.
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