A client with emphysema who has severe shortness of breath and frequent hospitalizations often
depends on her portable oxygen tank when she leaves her home.
Recently she was tearful at a Better
Breathers Group meeting because in the last 2 weeks she has not been able to go upstairs to her
bedroom at night because of slight shortness of breath by the third step and fear of having severe
breathing difficulty as she continues up the stairs. The group leader provides several suggestions and
arranges to teach the client guided imagery. What image would the client be encouraged to imagine?
a. A younger, healthier body that knows no exercise limitations.
b. Learning to sleep downstairs as an acceptable alternative to her bedroom.
c. Separating herself from and being free and independent from her oxygen tank.
d. Walking up the stairs in a relaxed manner with regular depth and rate of
breathing.
Question 2
The rationale for the nurse needing to be aware of feelings while working with a family experiencing
family violence is best explained as
a. awareness protects one's own mental health.
b. strong negative feelings interfere with assessment and judgment.
c. strong positive feelings lead to underinvolvement with the victim.
d. positive feelings promote the development of sympathy for clients.
The effects of emphysema.
Example of simplified note for one-time client.
Testing the client’s ability to feel vibrations, the toe
Testing the Achilles tendon reflex with client in a sitting position
Positioning of client
A Breath-Actuated Inhaler