In trying to relieve the pain of a patient, the Nursing sister asks him to identify a really happy scene he has experienced. This is called -

Appeared in: GMCH - 2015

Explanation

The technique described involves asking the patient to use their imagination to create a mental image of a pleasant and happy scene from their experience.
This is the definition of guided imagery, a mind-body therapy where a practitioner leads an individual through a particular scenario to stimulate physical changes and improve well-being.
It is an effective nursing intervention for pain and anxiety, as it distracts the mind from the painful stimuli and promotes a relaxation response.

Option B: Relaxation therapy is a broad category of interventions designed to reduce stress and tension. While guided imagery is a type of relaxation therapy, the question describes a very specific action (visualizing a scene), making 'Guided imagery' the more precise and correct answer.
Option C: Hypnosis is a distinct therapeutic technique that induces a trance-like state of heightened focus and suggestibility. It is a more complex process than simply recalling a happy memory and typically requires a practitioner with specialized training.
Option D: Transcendental Meditation is a specific form of silent meditation where an individual repeats a mantra to quiet the mind and achieve a state of deep rest.

Clinical Relevance

Nursing practice connection: Use the key finding related to Non-pharmacological pain management techniques to guide bedside assessment, documentation, and the next nursing action.
Nurses can independently initiate guided imagery as a safe, low-cost, and effective non-pharmacological intervention to help patients manage pain and anxiety.
This technique empowers patients by giving them a tool to actively participate in controlling their symptoms, which can reduce feelings of helplessness and improve coping.
What if the patient finds it difficult to create a mental image or becomes more distressed? The nurse should stop the exercise and switch to a different sensory-based distraction, such as listening to music, or a simpler relaxation technique like deep breathing.

How to Approach the Question

First, identify the core action described in the question's scenario: a nurse asks a patient to 'identify a really happy scene.'
Analyze the options to determine which term best describes this specific action.
Recognize that 'Relaxation therapy' is a general category, while 'Guided imagery,' 'Hypnosis,' and 'Transcendental Meditation' are specific techniques.
Match the action of visualizing a scene with its precise definition. The act of creating a mental picture is the hallmark of guided imagery.
Differentiate this from hypnosis (which involves a trance state) and Transcendental Meditation (which uses a mantra), confirming that guided imagery is the most accurate choice.

Concept Tested & Keywords

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E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 221-223

E6 Nursing Fundamentals Potter Perry 12e Part 5 p. 154-156

E6 Nursing Fundamentals Taylor p. 238-240

Practise the full GMCH - 2015

Attempt every question from this paper in a timed mock, then review the full solution for each one.