This is also known as Self-suggestion or Self-hypnosis
- A. Biofeedback
- B. Meditation
- C. Autogenic training
- D. Visualization and Imagery
Correct Answer: C
Rationale: Autogenic training (C) is self-suggestion or self-hypnosis, using phrases to induce relaxation (e.g., 'my arms are heavy'). Biofeedback (A) relies on machines, meditation (B) on focus, and visualization (D) on imagery not self-hypnosis. Autogenic training, per Schultz, shifts autonomic responses via mental cues, aligning with the definition, making C correct.
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A nurse is caring for a client receiving high-flow oxygen therapy via a noninvasive positive pressure ventilation (NPPV) device. What is an important nursing intervention for this client?
- A. Assessing the client's oxygen saturation every 4 hours
- B. Monitoring the client's respiratory rate every 15 minutes
- C. Providing frequent oral care to prevent dry mouth
- D. Administering oxygen at a flow rate of 1-2 L/min
Correct Answer: C
Rationale: Providing frequent oral care (C) is key with NPPV (e.g., CPAP/BiPAP), as high-flow air dries the mouth, risking sores or discomfort. Q4h SpO2 (A) isn't specific to NPPV. Q15min RR (B) is excessive. 1-2 L/min (D) doesn't apply to NPPV. Oral care enhances comfort, per critical care standards, vital for compliance.
Which of the following is NOT true about post mortem care?
- A. The body should be placed in a morgue within 1 hour
- B. Wash hands before and after care
- C. Remove tubes and soiled linens
- D. Close the eyes and mouth
Correct Answer: A
Rationale: Body to morgue within 1 hour (A) isn't true no strict universal timing, per facility policy. Hand washing (B), tube removal (C), and closing eyes/mouth (D) are standard. A's rigidity misaligns with flexible care, making it untrue.
Which of the following nursing intervention would least likely be effective when dealing with a client with aggressive behavior?
- A. Approach him in a calm manner
- B. Provide opportunities to express feelings
- C. Maintain eye contact with the client
- D. Isolate the client from others
Correct Answer: C
Rationale: Maintaining eye contact (C) is least effective with aggressive clients; it can escalate tension, per de-escalation guidelines. Calm approach (A), expression (B), and isolation (D) soothe or manage behavior. Eye contact may provoke, making C incorrect.
Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is
- A. High
- B. Low
- C. At the low end of the normal range
- D. At the high end of the normal range
Correct Answer: D
Rationale: Tympanic temp of 37.9°C is normal (36.6-38°C) e.g., high-normal from cough stress. Not high (>38°C), low (<36.6°C), or low-end. Nurses interpret this e.g., monitor trends in acute cases, per standard ranges.
Among the following statements, which should be given the HIGHEST priority?
- A. Client is in extreme pain
- B. Client's blood pressure is 60/40
- C. Client's temperature is 40 deg. Centigrade
- D. Client is cyanotic
Correct Answer: B
Rationale: BP 60/40 (B) is highest priority; severe hypotension threatens perfusion, per ABCs (circulation). Pain (A), fever (C), and cyanosis (D) are urgent but secondary to life-threatening shock. B demands immediate action, making it correct.