Which action should the nurse take prior to educating clients about relaxation techniques?

Assist the client to identify triggers or sources of stress.

Educate the client’s family so they can be active participants in the therapy.

Perform a physical assessment to ensure the client is able to participate in this therapy.

Obtain an order from the psychiatrist during the treatment team.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Assist the client to identify triggers or sources of stress.

This is the correct response. Before educating clients about relaxation techniques, it is essential to help them identify their specific triggers or sources of stress. Understanding what causes their stress allows for more tailored and effective relaxation strategies. This step ensures that the relaxation techniques taught are relevant and can directly address the client’s needs, leading to better outcomes in managing anxiety and stress.

Choice B Reason:

Educate the client’s family so they can be active participants in the therapy.

While involving the client’s family in therapy can be beneficial, it is not the primary action to take before educating the client about relaxation techniques. Family education can support the client’s overall treatment plan, but the initial focus should be on understanding the client’s individual stressors and needs.

Choice C Reason:

Perform a physical assessment to ensure the client is able to participate in this therapy.

Performing a physical assessment is important to ensure the client can safely participate in relaxation techniques. However, this step is secondary to identifying the client’s stress triggers. Once the triggers are identified, the nurse can then assess the client’s physical ability to engage in specific relaxation exercises.

Choice D Reason:

Obtain an order from the psychiatrist during the treatment team.

Obtaining an order from the psychiatrist may be necessary for certain interventions, but it is not typically required for teaching relaxation techniques. The nurse can independently educate clients on these techniques as part of standard nursing care for managing stress and anxiety.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A Reason:

Somatic.

Somatic delusions involve a false belief that there is something physically wrong with one’s body, such as having a serious illness or a physical defect. In this scenario, the client’s belief that the food is poisoned does not relate to their own body but rather to an external threat, making somatic delusions an incorrect classification.

Choice B Reason:

Persecutory.

This is the correct response. Persecutory delusions, also known as paranoid delusions, involve the belief that one is being targeted, harassed, or conspired against. The client’s statement that the staff is poisoning the food reflects a belief that they are being harmed or targeted, which is characteristic of persecutory delusions. These types of delusions are the most common in schizophrenia and often involve themes of being persecuted or plotted against.

Choice C Reason:

Erotomanic.

Erotomanic delusions involve the false belief that another person, often someone of higher status, is in love with the individual. This type of delusion is not relevant to the client’s statement about the food being poisoned, as it does not involve any romantic or affectionate themes.

Choice D Reason:

Grandiose.

Grandiose delusions involve an inflated sense of one’s own importance, power, knowledge, or identity. The client’s belief about the food being poisoned does not reflect an exaggerated sense of self-importance or power, making grandiose delusions an incorrect classification for this scenario.

A. Restating B. Giving advice C. Maintaining neutral responses D. Asking the client, “Why?” E. Listening

Correct Answer is ["A","C","E"]

Explanation

Choice A Reason:

Restating involves repeating what the client has said in order to show understanding and to encourage them to continue talking. This technique helps to clarify the client’s thoughts and feelings, ensuring that the nurse accurately understands the client’s message. It also demonstrates active listening and empathy, which are crucial components of therapeutic communication.

Choice B Reason:

Giving advice is generally considered a non-therapeutic communication technique. It can imply that the nurse knows best and can undermine the client’s autonomy and decision-making abilities. Instead of giving advice, therapeutic communication focuses on helping clients explore their own thoughts and feelings to arrive at their own conclusions and solutions.

Choice C Reason:

Maintaining neutral responses involves responding to the client in a way that does not convey judgment or bias. This technique helps to create a safe and supportive environment where the client feels comfortable sharing their thoughts and feelings. Neutral responses can include nodding, making non-committal sounds like “mm-hmm,” and using phrases like “I see” or “Tell me more”.

Choice D Reason:

Asking the client “Why?” can be perceived as confrontational or judgmental, which can hinder open communication. It may make the client feel defensive or uncomfortable. Instead, therapeutic communication techniques involve asking open-ended questions that encourage the client to express themselves without feeling judged.

Choice E Reason:

Listening is one of the most fundamental therapeutic communication techniques. It involves giving the client your full attention, showing interest in what they are saying, and responding appropriately to their concerns. Active listening helps to build trust and rapport, making the client feel heard and understood.

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Which action should the nurse take prior to educating clients about relaxation techniques?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client is in the dayroom and shouting at other clients, stating, “Do not eat the food here. The staff is poisoning the food!” The nurse should document that the client is experiencing which type of delusion?

Correct Answer is B

Explanation

A nurse working on a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. Which of the following are therapeutic communication techniques? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","E"]

Explanation

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