Author Question: Which modality would be least helpful to include in the plan of care for a client who is being ... (Read 56 times)

wenmo · **on:** Jul 19, 2018

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 · **Reply #1 on:** Jul 19, 2018

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.