NCLEX Question for cognitive coping strategy

NCLEX Review Question

When the patient is encouraged to concentrate on a pleasant experience or restful scene, the cognitive coping strategy being employed by the nurse is

a.imagery.
b.optimistic self-recitation.
c.distraction.
d.progressive muscular relaxation.

Correct Answer: A
imagery.
Rationale: Imagery has proven effective for oncology patients.

optimistic self-recitation.
Rationale: Optimistic self-recitation is practiced when the patient is encouraged to recite optimistic thoughts such as “I know all will go well.”

distraction.
Rationale: Distraction is employed when the patient is encouraged to think of an enjoyable story or recite a favorite poem.

progressive muscular relaxation.
Rationale: Progressive muscular relaxation requires contracting and relaxing muscle groups and is a physical coping strategy as opposed to cognitive.

Posted in: MSN NCLEX