Which modality would be least helpful to include in the plan of ...

[wenmo]

Which modality would be least helpful to include in the plan of care for a client who is being treated
  for severe chronic low back pain?
 
  a. Biofeedback, to promote relaxation of muscle groups and relief of tension that
  aggravates pain
  b. Guided imagery, as a way of deepening relaxation and desensitizing the client to
  pain
  c. Hypnosis, to achieve a state of resting alertness and the ability to block out
  painful sensations
  d. Psychoanalytic psychotherapy, to develop insight about the underlying
  psychological reasons for the symptom

Question 2

An intramuscular dose of antipsychotic medication needs to be given to a client who is becoming
  increasingly more aggressive. The client is in the day room. The nurse should
 
  a. enter the day room and say Would you like to come to your room and take some
  medication that your doctor has ordered for you?
  b. take three staff members to the day room as a show of solidarity and say Please
  come to your room so I can give you some medication that will help you feel
  more comfortable..
  c. take a male nursing assistant to the day room and tell the client You can come to
  your room willingly so I can give you this medication, or the aide and I will have
  to take you there..
  d. enter the day room, place the client in a basket hold, and say I am going to take
  you to your room to give you an injection of medication to calm you..

[ndhahbi]

Answer to Question 1

D
Analytic therapy has been found to be largely ineffective in helping clients cope with chronic pain.
Supportive therapy, behavior therapy, cognitive therapy, and antidepressants have proved helpful, as
have the modalities listed in options A, B, and C.

Answer to Question 2

B
A client gains feelings of security if he or she sees others are present to help with control. The nurse
gives a simple direction, honestly states what is going to happen, and reassures the client that the
intervention will be helpful. This positive approach assumes the client can act responsibly and will
maintain control. Physical control measures should be used only as a last resort. Option A offers the
client a choice, something the nurse does not actually plan to permit. Option C threatens the client.
Option D restrains the client before knowing whether such a measure is necessary.

[wenmo]

Excellent

[dawsa925]

TYSM