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 D
Explanation
Choice A reason: Euphoria is not typically a defense mechanism; it's a feeling of intense excitement and happiness.
Choice B reason: Depression is a mental health condition, not a defense mechanism.
Choice C reason: Manipulation can be a behavior exhibited by individuals with certain personality disorders, but it is not considered a primary defense mechanism.
Choice D reason: Projection is a defense mechanism where individuals attribute their own unacceptable thoughts, feelings, and motives to another person.
Correct Answer is A
Explanation
Choice A reason: An appendectomy is a surgical procedure to remove the appendix, typically due to appendicitis.
Choice B reason: Removal of the colon is known as a colectomy, not an appendectomy.
Choice C reason: Cutting into the appendix may be part of the procedure, but appendectomy specifically refers to the removal of the appendix.
Choice D reason: Repair of the appendix is not a common procedure; appendectomies are performed to remove the appendix, not repair it.
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