Nurses understand that patients who deliberately pretend to be ill are:

Neurotic

Psychotic

Malingering

Hypochondriac

Answer and Explanation

The Correct Answer is C

Choice A reason: Neuroticism is a personality trait characterized by anxiety, fear, moodiness, worry, envy, frustration, jealousy, and loneliness. It does not involve pretending to be ill.

Choice B reason: Psychosis refers to a mental disorder in which thought and emotions are so impaired that contact is lost with external reality. It is not associated with deliberately pretending to be ill.

Choice C reason: Malingering is the act of exaggerating or feigning illness for a secondary gain, such as financial compensation or avoidance of work.

Choice D reason: Hypochondriasis is a condition in which a person is excessively and unduly worried about having a serious illness. It does not involve deliberately pretending to be ill.

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Correct Answer is A

Explanation

Choice A reason: Coughing and deep breathing exercises after surgery are encouraged to prevent atelectasis, which is the collapse of part or (less commonly) all of a lung.

Choice B reason: Induction is not a postoperative complication; it refers to the process of initiating anesthesia.

Choice C reason: Hypothermia is a condition of abnormally low body temperature, not directly prevented by coughing and deep breathing.

Choice D reason: Hematoma, a collection of blood outside of blood vessels, is not prevented by coughing and deep breathing exercises.

A. Call the surgeon to talk to the patient. B. Offer to call the chaplain for this patient. C. Inform the patient that the survival rate for this surgery is very high. D. Recommend analgesics only during surgery.

Correct Answer is C

Explanation

Choice A reason:

Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.

Choice B reason:

Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.

Choice C reason:

Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.

Choice D reason:

Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.

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Nurses understand that patients who deliberately pretend to be ill are:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

We encourage the patient to cough and deep breathe after surgery to prevent:

Correct Answer is A

Explanation

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Correct Answer is C

Explanation

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