After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

Surgical pause

Time out

Preoperative checklist

Time in

Answer and Explanation

The Correct Answer is B

Choice A reason: A surgical pause is not a commonly used term for this process.

Choice B reason: A time out is a standardized procedure used to verify the correct patient, procedure, and site before surgery begins.

Choice C reason: The preoperative checklist is a broader list of tasks completed before surgery, not the specific pause for verification.

Choice D reason: Time in is not a recognized term for this verification process in the surgical setting.

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Correct Answer is C

Explanation

Choice A reason: Regression involves reverting to an earlier stage of development when faced with stress, which is not what Marie is doing.

Choice B reason: Repression involves unconsciously blocking out painful thoughts or feelings, which is different from Marie's conscious rationalization of her failure.

Choice C reason: Rationalization is a defense mechanism where an individual justifies an unacceptable behavior or feeling with a logical reason, avoiding the true explanation for the behavior. Marie is rationalizing her failure by blaming the instructor rather than accepting her own role in the outcome.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not applicable in Marie's case.

A. Evaluation B. Assessment C. Planning D. Implementation

Correct Answer is B

Explanation

Choice A reason: Evaluation is the final step of the nursing process, where the nurse determines the effectiveness of the nursing care provided.

Choice B reason: Assessment is the correct part of the nursing process for the mental status examination, as it involves collecting data about the patient.

Choice C reason: Planning involves setting goals and choosing appropriate nursing actions based on the assessment data.

Choice D reason: Implementation is the step where the nurse carries out the planned interventions.

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After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Correct Answer is C

Explanation

The mental status examination takes place during which part of the nursing process?

Correct Answer is B

Explanation

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

A general goal for a patient with a Personality Disorder is: