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:

Informed consent.

Time out.

Patient history.

Pre-op checklist.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

Choice A reason: The 'thinking/content of thought' section of the Mental Health Status Examination assesses the logical process of thought, presence of delusions, obsessions, and preoccupations.

Choice B reason: 'Memory' assesses the person's ability to recall past events, which is not directly related to their current thought content.

Choice C reason: 'Judgment' evaluates the ability to make reasoned decisions, which, while important, is distinct from the content of thought.

Choice D reason: 'Speech and the ability to communicate' assesses the clarity, relevance, and coherence of speech, not the internal thought process.

A. Tell them everything will be okay. B. Include family members in teaching. C. Identify knowledge deficiencies. D. Provide the patient with written and verbal materials. E. Determine the patient's anxiety levels. F. Document patient understanding and teaching provided.

Correct Answer is ["B","C","D","E","F"]

Explanation

Choice A reason: Telling the patient everything will be okay is not an appropriate intervention as it does not address the specific educational needs related to their knowledge deficit.

Choice B reason: Including family members in teaching can provide additional support and help reinforce the information provided to the patient.

Choice C reason: Identifying knowledge deficiencies is essential to tailor the education to the patient's specific needs.

Choice D reason: Providing written and verbal materials can help the patient understand and remember the information about their surgery and care.

Choice E reason: Determining the patient's anxiety levels can help the nurse address any concerns or fears that may affect their learning.

Choice F reason: Documenting patient understanding and teaching provided is important for continuity of care and to ensure that the patient has received and understood the necessary information.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is A

Explanation

The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)

Correct Answer is ["B","C","D","E","F"]

Explanation

The mental health status examination includes (select all that apply):

The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

The sudden bursting open of the wound's edges is known as:

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?