The nurse is assisting the client with the use of guided imagery. ...

[Jipu 123]

The nurse is assisting the client with the use of guided imagery. Which action by the nurse is the most appropriate when initiating guided imagery?
 
  1. Asking the client to take slow, full diaphragmatic/abdominal breaths
  2. Asking the client to use progressive muscle relaxation exercises
  3. Guiding the client toward a most beautiful or peaceful place
  4. Suggesting a place where the client will find peace

Question 2

The nurse documents the assessment and interventions performed to relieve the client's pain on a pain management flow sheet. Why is this documentation important?
 
  Select all that apply.
  1. Reduces time spent on documentation.
  2. Clarifies and communicates each client's pain experience.
  3. Accurately documents the pain management efforts performed by the nurse.
  4. Enhances pain relief efforts.
  5. Ensures continuity of care.

[bhavsar]

Answer to Question 1

Correct Answer: 1

The nurse begins by helping the client to relax using slow breaths. After deep breathing, the client may be asked to use progressive muscle relaxation exercises, and then the nurse will guide the client toward a peaceful place. The nurse should never suggest a peaceful place, but should allow the client to choose the place where he finds peace.

Answer to Question 2

Correct Answer: 2,4,5

The pain management flow sheet helps to clarify and communicate each client's pain experience to other members of the health care team, enhances pain management effectiveness, and ensures that other care providers will recognize what has worked for pain relief in the past, ensuring continuity of care. It is not used to reduce time spent on documentation, although this can be a pleasant side effect. Pain management should be accurately documented no matter what form is used.