NCLEX-RNBasic Care and ComfortMedium
A client with chronic low back pain asks the nurse for a non-pharmacologic method to help manage pain during physical therapy sessions. Which technique should the nurse suggest?
- AGuided imagery focusing on a peaceful, relaxing scene during the session
- BHolding the breath during painful movements to build tolerance
- CDistracting the client with complex mental math problems during exercise
- DTaking a hot shower immediately before starting the exercises
Show answer & explanationAnswer & explanation
Correct answer: A. Guided imagery focusing on a peaceful, relaxing scene during the session
Guided imagery is an evidence-based cognitive-behavioral technique that reduces the perception of pain by redirecting attention to calming mental images, and it can be used concurrently with physical activity.
Why the other options are wrong
- B. Breath holding increases tension and can raise blood pressure, worsening discomfort.
- C. Complex mental tasks may increase cognitive load and are not a validated pain-relief technique for physical activity.
- D. A hot shower right before exercise does not address ongoing pain during movement and may not be practical during therapy.
Guided Imagery
A relaxation technique in which the client visualizes calming, peaceful scenes to reduce the perception of pain and anxiety.
- Engages the parasympathetic nervous system to promote relaxation
- Can be used alone or with other non-pharmacologic methods
- Effective for chronic pain, procedural pain, and anxiety
Memory trick: Picture peace, ease the pain — imagery calms the brain.