client scheduled for complex heart surgery has been reading their religious text for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?
Family members live far away and the client is lonely.
These behaviors are signs of spiritual distress.
These behaviors are expected before major surgery.
The client is naturally emotional and reactive
The Correct Answer is B
A. While loneliness can contribute to distress, the specific behaviors observed (excessive religious reading, crying, and poor sleep) suggest something deeper than just social isolation.
B. These behaviors are signs of spiritual distress, which may occur when a person is facing a serious illness or surgery and is struggling with questions of meaning, faith, or fear. Spiritual distress can manifest emotionally and behaviorally, as seen here.
C. While some anxiety is expected before major surgery, persistent emotional signs like excessive crying and poor sleep, along with intense religious focus, indicate more than normal preoperative nerves.
D. Labeling the client as “naturally emotional” is an assumption and dismisses the need for assessment and appropriate support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Using an untrained interpreter from the office may lead to miscommunication.
B. Nonverbal methods alone may not convey complex health information accurately.
C. Family members might omit or alter information, risking confidentiality and accuracy.
D. A trained professional interpreter ensures accurate, confidential, and culturally appropriate communication.
Correct Answer is C
Explanation
A. Taking medication when there is no pain may lead to unnecessary medication use.
B. Waiting until pain is at its worst (rating of 10) can make it harder to control and prolong discomfort.
C. Requesting pain medication before the pain becomes severe helps maintain better pain control and improves recovery.
D. Waiting until pain is severe and nonpharmacologic methods fail delays effective pain management and increases suffering.
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