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?
"Relax. Take a few deep breaths. I'll stay with you."
"I'll take your vital signs and call my supervisor."
"Don't worry. She's done this many times before."
"Why do you think you're having a heart attack, Mr. L?"
The Correct Answer is A
Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.
Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.
Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.
Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Mood and affect are essential components of the mental health status examination, reflecting the patient's emotional state and its expression.
Choice B reason: Memory is a cognitive function that is assessed during the mental health status examination to determine if there are any deficits.
Choice C reason: Judgment is evaluated to understand the patient's decision-making abilities, which can be affected in various mental health conditions.
Choice D reason: "Mood and tone" is not a standard component of the mental health status examination. The term "tone" typically refers to the quality of voice or speech.
Choice E reason: Level of awareness and orientation are assessed to determine the patient's consciousness level and their awareness of time, place, and person.
Correct Answer is B
Explanation
Choice A reason: Patients should not hold their insulin unless instructed by a physician, as it can lead to uncontrolled blood sugar levels.
Choice B reason: Taking vitamins with zinc and vitamin C can help with wound healing and immune function after surgery.
Choice C reason: Smoking should be stopped before surgery as it can impair wound healing and increase the risk of complications.
Choice D reason: Patients are typically advised to fast before surgery to reduce the risk of aspiration during anesthesia.
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