A home health nurse is assisting in the care of a patient following a modified radical mastectomy. Which statement by the patient indicates effective coping?
“I’m going to close my eyes until you finish dressing my incision.”.
“I would just like to spend my day staring at the TV.”.
“I’m planning to stay at home until my breast reconstructive surgery.”.
“I would like to see what this looks like today.”.
The Correct Answer is D
Choice A rationale
Closing one’s eyes during wound dressing may indicate avoidance or denial, which are not effective coping strategies. It’s important for patients to be aware of their condition and participate in their care to the extent possible.
Choice B rationale
Spending the day staring at the TV may indicate withdrawal or depression, which are not signs of effective coping. Engaging in activities, socializing, and participating in physical therapy or rehabilitation can help improve mood and promote recovery.
Choice C rationale
While it’s normal for patients to want to stay home until they feel better or until they have completed reconstructive surgery, this statement alone does not necessarily indicate effective coping. It’s important for patients to gradually resume normal activities and social interactions as their condition allows.
Choice D rationale
Expressing a desire to see the surgical site indicates acceptance and a willingness to participate in care, which are signs of effective coping. This shows that the patient is taking an active role in their recovery and is not avoiding or denying their condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to prepare for a colonoscopy by cleaning out the colon, drinking full liquids until 6 hours before the procedure may not be recommended. The colon needs to be empty to allow the doctor to view it clearly during the colonoscopy. Therefore, this choice is incorrect.
Choice B rationale
Moderate sedation is often used during a colonoscopy. This means you’ll be relaxed and somewhat drowsy, but you’ll still be awake. You might not remember much about the actual procedure because of the sedative. Therefore, this choice is correct.
Choice C rationale
During a colonoscopy, you will likely start by lying on your left side. However, you may be asked to adjust your position during the procedure to allow the doctor to better examine certain parts of your colon. Therefore, this choice is incorrect.
Choice D rationale
Warming the liquid bowel preparation before drinking it is not typically recommended. The bowel preparation involves drinking a solution that helps clear out the colon, but it doesn’t need to be warmed. Therefore, this choice is incorrect.
Correct Answer is D
Explanation
Choice A rationale
Avoiding sexual activity while the monitor is on is not typically necessary. The Holter monitor is designed to record the heart’s activity during normal daily activities, including physical activity.
Choice B rationale
Removing the electrodes before going to bed is not recommended. The Holter monitor should be worn continuously, including during sleep.
Choice C rationale
It is not okay to bathe with the electrodes on. The Holter monitor and electrodes should not get wet.
Choice D rationale
Keeping a diary of daily activities is recommended. The client should note the times of various activities and symptoms in a diary. This can help the healthcare provider correlate the heart’s activity with the client’s actions and symptoms.
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