The practical nurse (PN) is using guided imagery with a client who is experiencing chronic pain. The PN should direct the client's attention to which focus?
Motivational phrases.
Emotional reflection.
Positive external places.
Tranquil sounds.
The Correct Answer is C
Rationale:
A. This option is incorrect because motivational phrases are more aligned with affirmations or cognitive-behavioral techniques. While they may support coping, they are not the primary focus of guided imagery.
B. This option is incorrect because emotional reflection involves thinking about personal feelings or experiences, which may increase awareness of discomfort or stress rather than reduce the perception of pain.
C. This option is correct because guided imagery involves focusing the client’s attention on a positive, calming, and often external mental image, such as a peaceful beach, garden, or mountain scene. Directing attention to a positive external place helps shift focus away from pain, promotes relaxation, reduces stress, and enhances the perception of comfort.
D. This option is incorrect because tranquil sounds may be used in relaxation or meditation techniques, but they are not the central focus of guided imagery, which relies on creating a detailed mental image rather than auditory stimuli alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This option is incorrect because a particulate respirator mask (e.g., N95) is intended for the healthcare worker providing care, not the client during transport. The PN should wear this if entering the client’s room, but it does not prevent the client from spreading airborne droplets while moving.
B. This option is correct because giving the client a surgical mask during transport reduces the risk of airborne transmission of tuberculosis to others in the hospital. Surgical masks on clients containing infectious respiratory droplets are standard practice when moving them outside airborne isolation rooms.
C. This option is incorrect because having a stocked isolation cart outside the room is important for maintaining infection control within the room but does not directly protect others during client transport.
D. This option is incorrect because placing a blood pressure machine in the room is unrelated to infection control or safe transport of a client with tuberculosis.
Correct Answer is D
Explanation
Rationale:
A. This option is incorrect because UAPs should not independently exceed the standard number of prescribed enemas or make decisions about continuing beyond two without consulting the PN. Using sodium biphosphate enemas may also require caution due to electrolyte concerns.
B. This option is incorrect because instructing the UAP to give unlimited enemas “until clear” exceeds their scope of practice. UAPs require specific limits and guidance from licensed nurses.
C. This option is incorrect because administering only 2 enemas may not achieve the prescribed outcome “until clear,” and the UAP would not know when to stop safely without consulting the PN.
D. This option is correct because it provides a safe, defined limit (up to 3 tap water enemas) and instructs the UAP to consult the PN if stool remains formed. This ensures patient safety, adherence to provider orders, and compliance with the UAP’s scope of practice.
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