A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?
Anxiety related to uncertainty of the events of the test
Deficient knowledge related to lack of information regarding the procedure
Disturbed thought process related to confusion
Disturbed thought process related to temporary memory loss
The Correct Answer is A
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Meeting patient goals. While meeting patient goals is important, it is the result of care and does not directly build trust or address psychosocial needs on its own.
B. Developing a care plan. Developing a care plan is essential for organizing patient care, but it is a behind-the-scenes activity that the patient may not directly perceive as building trust or addressing psychosocial needs.
C. Implementing nurse orders. Implementing nurse orders is part of routine care delivery but does not specifically build trust or address psychosocial needs.
D. Patient education. Patient education helps build trust by empowering patients with knowledge about their condition and care plan. It encourages patients to have confidence in the care they are receiving and addresses their psychosocial needs by reducing anxiety and uncertainty.
Correct Answer is C
Explanation
A. Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.
B. Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.
C. Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.
D. Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.
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