PN3 Exam 1 Questions

1. Which assessment data would prohibit the use of imagery with a

client?

1. No previous history of using imagery techniques

2. States anxiety level of 6 on a 0–10 scale

3. Client feels reluctant to close eyes for the imagery session

4. Client has a history of psychosis

2. The nurse has determined that music therapy may be

appropriate for use with a client. Which strategies should the

nurse consider when choosing the music? Select all that apply.

1. Choose only music with words.

2. Choose music that is 5–7 minutes in duration.

3. Allow the client to choose music of his or her choice.

4. Encourage the client to respond to the music.

5. Ask the client not to analyze the music.

3. The nurse is using meditation with a client to help him decrease

his pain. Which factor is important to consider when using this

type of therapy?

1. The type of meditation is best determined by the nurse.

2. The client’s condition will influence the use of meditation.

3. Meditation is best taught when the client is in an outpatient

setting.

4. A certified professional should teach the client how to

perform meditation.

4. The client asks the nurse how humor therapy affects the client

physiologically. Which effects should the nurse explain are

attributed to laughter? Select all that apply.

1. Decreases heart rate and blood pressure

2. Increases salivary immunoglobulin A (S-IgA)

3. Produces an antagonist response to stress hormones

4. Decreases the immune response by decreasing Tlymphocytes

5. Changes temperature set point in the brain

5. The nurse decides to teach a client with hypertension the

progressive relaxation technique. Which instructions should the

nurse give to the client when using this relaxation method?

1. Sit in an upright position with legs crossed.

2. Place sensors on the forehead to monitor physiological

activity.

3. Contract and relax the body’s muscles in groups from head

to feet.

4. Monitor breathing pattern while repeating a word or phrase

out loud.

6. The nurse teaches the client about massage therapy. Which

statement by the client demonstrates a correct understanding of

the benefits of massage? Select all that apply.

1. “Massage reduces blood clot formation.”

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2. “Massage impacts lymphatic drainage.”

3. “Massage increases the lactic acid in muscle.”

4. “Massage ultimately improves blood flow.”

5. “Massage creates a sense of wakefulness.”

7. A nurse is preparing to present information to a women’s group

about the cautions associated with aromatherapy. What

information is appropriate to include for the audience? Select all

that apply.

1. Aromatic oils are produced by a standard-quality formula.

2. The oils should be stored in dark glass containers.

3. Test for allergies by applying a small amount of oil to the

skin before use.

4. Essential oils should not be used during pregnancy.

5. Production of essential oils is tightly controlled.

8. The nurse is preparing a presentation for staff about the effects

of humor in nursing situations. What feedback would indicate to

the nurse that the participants understand the role of humor in

the healthcare setting?

1. Understanding that humor increases the social distance

between people

2. Noting that humor promotes effective teaching and

learning

3. Anticipating that humor fosters the expression of anger

and aggression

4. Accepting that humor is ineffective as a coping mechanism

9. The nurse is evaluating the effectiveness of guided imagery for a

client with preoperative anxiety. Which client statement should

indicate to the nurse that the therapy has been successful?

1. “I hope that I don’t have dreams about the images we used

tonight.”

2. “It is a real challenge to concentrate while I have so much

on my mind.”

3. “I will need to set up some practice time for next week.”

4. “The images and exercises are selected to reduce anxiety

about the surgery.”

10. The nurse is using progressive relaxation on a client who is

experiencing a great deal of stress. What nursing action is

necessary in order to protect the client's safety prior to the start

of the session?

1. Evaluate the client’s muscle strength.

2. Determine if the client is taking sedatives.

3. Place the client in a totally supported position.

4. Obtain information regarding client allergies.

11. The nurse is teaching the client's partner how to perform aback

massage on the client. Which observation by the nurse

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indicates that the partner understands how to perform the

activity? Select all that apply.

1. The client is lying on the bed in his pajamas.

2. The client's back is being rubbed with large, circular

motions.

3. The partner places the bottle of lotion in warm water prior

to the massage.

4. The partner massages the client's back for 3–5 minutes.

5. The partner firmly massages reddened areas noted on the

client.

12. The nurse taught the client about meditation. Which

statement by the client demonstrates a correct understanding of

this activity?

1. “Meditation is a technique used to quiet the mind and

focus on the future.”

2. “Meditation involves self-reflection on my religious

convictions.”

3. “Meditation is a pure concept with one clearly defined

technique.”

4. “Meditation involves both relaxation and focus of

attention.”

13. The nurse is performing an imagery session with a group of

clients. What instruction should the nurse give the clients?

1. “Try to concentrate on your breathing, letting go of all your

stress.”

2. “Imagine that your body is using its energy to heal itself.”

3. “Contract the muscles of your arm and then relax.”

4. “Listen to music of your choice and let the music take you

away.”

14. A client is using aromatherapy to treat stress. Which

assessment data indicates an allergic reaction in a client who has

received an aromatherapy session?

1. Development of a rash

2. Increased skin turgor

3. Decreased pigmentation

4. Peripheral edema

15. The preoperative waiting area has soft instrumental music

playing in the background. What purpose should the nurse

recognize in regard to this utilization of music? Select all that

apply.

1. Music produces a hypermetabolic state in the listener.

2. Music reduces the physiological stress, pain, and anxiety.

3. Music enhances the functions of the left hemisphere of the

brain.

4. Music helps mask the normal noises found in the hospital

setting.

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