The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Call the surgeon to talk to the patient.

Offer to call the chaplain for this patient.

Inform the patient that the survival rate for this surgery is very high.

Recommend analgesics only during surgery.

Answer and Explanation

The Correct Answer is C

Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.

Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.

Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.

Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.

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Correct Answer is D

Explanation

Choice A reason: The theory that schizophrenia is primarily related to a disturbed mother-child relationship is outdated and not supported by current research.

Choice B reason: While prenatal factors may contribute to the risk, schizophrenia is not solely caused by brain damage from the mother's use of tranquilizers during pregnancy.

Choice C reason: Alterations in opioid receptors are not currently considered a primary cause of schizophrenia.

Choice D reason: Schizophrenia is considered a brain disorder, with current research focusing on a combination of genetic and environmental factors, brain chemistry, and structure.

A. Informed consent. B. Time out. C. Patient history. D. Pre-op checklist.

Correct Answer is A

Explanation

Choice A reason: Informed consent is obtained when a patient agrees to a procedure after understanding its risks and benefits, which is what Melva provided.

Choice B reason: A time out is a final review before surgery to ensure correct patient identity, procedure, and site, which is not described here.

Choice C reason: Patient history refers to the collection of a patient's medical background, which is not the focus in this scenario.

Choice D reason: The pre-op checklist is a list of tasks to be completed before surgery, not a discussion of the procedure itself.

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The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The most current thinking on the cause of schizophrenia is that it is:

Correct Answer is D

Explanation

Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

Correct Answer is A

Explanation

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