The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient?

Correct Answer: A

Rationale: The correct answer is A because a family history of anxiety and symptoms of anxiety indicate a predisposition to anxiety disorders, making the patient more likely to benefit from relaxation techniques. This assessment data suggests a need for proactive intervention to address potential anxiety issues. Option B is incorrect as it pertains to the significant other's health, not the patient's. Option C is unrelated to anxiety or stress management. Option D, while indicating increased stress due to adopting twins, does not directly suggest a need for relaxation techniques based on anxiety predisposition.

Correct Answer: B

Rationale: The correct answer is B: Using the nursing process as a guide. Proper documentation in medical records requires following a systematic approach like the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation. This ensures a comprehensive and organized documentation of the patient's condition and any changes. Using the nursing process helps healthcare providers to accurately document the patient's status and care provided. Choice A: Only using objective data is incorrect because proper documentation should include both objective (observable) and subjective (patient-reported) data for a holistic view of the patient's condition. Choice C: Using language the specific patient can understand is important for effective communication but not directly related to enhancing proper documentation. Choice D: Avoiding legal jargon is important to ensure clarity and understanding but does not directly enhance the documentation process.

Correct Answer: A

Rationale: The correct answer is A, change of shift report, because it is a critical time when patient information is being transferred between nurses, and any miscommunication can lead to errors in patient care. During this time, details about medications, treatments, and patient conditions are being exchanged, making it crucial for the nurse to be alert to prevent any potential harm to the patient. Choice B, admission interviews, may also be important for gathering accurate patient information, but the level of detail and criticality of communication errors during shift change is higher. Choices C and D, one-to-one conversations with patients and conversations with patient families, are important communication opportunities, but they may not carry the same level of risk for errors resulting in harm as the change of shift report does.

Correct Answer: D

Rationale: Noah's whispered statement is a message he is conveying. A: Channel refers to the medium through which the message is sent, which is not relevant here. B: Stimulus is what triggers a response, which is not explicitly discussed in the statement. C: Message is the content being communicated, which is evident in Noah's statement. D: Feedback is the response or reaction to a message, but in this case, Noah's statement does not involve any feedback. Therefore, the correct answer is D: Feedback.

Correct Answer: B

Rationale: The correct answer is B: Expressing emotions to manage stress. By making daily entries in a personal journal, individuals can effectively express their emotions, thoughts, and feelings related to stress. This process helps in acknowledging and processing these emotions, leading to better stress management. Writing in a journal can serve as a cathartic outlet, allowing individuals to release pent-up emotions and gain clarity on their stressors. This practice promotes self-awareness, emotional regulation, and a sense of control over stressors. Incorrect Choices: A: Providing a distraction from the daily stress - Journaling is more about facing and processing stress rather than avoiding it. C: Identifying stress triggers - While journaling may help in identifying stress triggers, the primary goal is to express emotions rather than solely focusing on triggers. D: Focusing on one's stress - Journaling aims to manage stress by expressing emotions, not by fixating solely on stress itself.