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 A
Explanation
Choice A rationale
Sudden jaw pain can be a symptom of a heart attack. It’s important to seek immediate medical attention if this occurs.
Choice B rationale
While some people may experience hot, dry, and flushed skin during a heart attack, it’s not a common symptom and should not be relied upon as an indicator.
Choice C rationale
Waiting 30 minutes before taking action if experiencing heartburn is not advisable, especially if the individual has a history of heart disease. Heartburn can sometimes be a symptom of a heart attack.
Choice D rationale
Nitroglycerin is typically taken at the first sign of chest pain. If the pain does not improve or worsens after one dose, it’s important to seek immediate medical attention.
Correct Answer is A
Explanation
Choice A rationale
When a patient is initiating IV therapy, one of the tasks a nurse may perform is administering IV fluids with a potassium supplement. This is a common task in IV therapy. Therefore, this choice is correct.
Choice B rationale
Administering pain medication could be a part of a nurse’s responsibilities, but it is not specific to the initiation of IV therapy. Therefore, this choice is incorrect.
Choice C rationale
Inserting a nasogastric tube is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
Choice D rationale
Requesting a prescription for an antiemetic is not a task associated with initiating IV therapy. Therefore, this choice is incorrect.
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