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?

Call the surgeon to talk to the patient.

Offer to call the chaplain for this patient.

Inform the patient that the survival rate for this surgery is very high.

Recommend analgesics only during surgery.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, not necessarily by being pouty and demanding attention.

Choice B reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression, which does not align with the patient's behavior.

Choice C reason: Narcissistic personality disorder includes traits such as needing excessive admiration and having a sense of entitlement, which could explain the patient's behavior.

Choice D reason: Antisocial personality disorder is marked by a disregard for and violation of the rights of others, which is not described in the patient's behavior.

A. Primarily related to a disturbed mother-child relationship B. Brain damage caused by the mother's use of tranquilizers during pregnancy C. An alteration in opioid receptors D. A brain disorder

Correct Answer is D

Explanation

Choice A reason: The theory that schizophrenia is primarily related to a disturbed mother-child relationship is outdated and not supported by current research.

Choice B reason: While prenatal factors may contribute to the risk, schizophrenia is not solely caused by brain damage from the mother's use of tranquilizers during pregnancy.

Choice C reason: Alterations in opioid receptors are not currently considered a primary cause of schizophrenia.

Choice D reason: Schizophrenia is considered a brain disorder, with current research focusing on a combination of genetic and environmental factors, brain chemistry, and structure.

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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?

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Correct Answer is C

Explanation

The most current thinking on the cause of schizophrenia is that it is:

Correct Answer is D

Explanation

What is evisceration?

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