The nurse is assisting in the care of a preoperative patient who 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: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.

Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.

Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.

Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.

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Correct Answer is A

Explanation

Choice A reason: Displacement is a defense mechanism where a person redirects a negative emotion from its original source to a less threatening recipient, which is what Mr. Thomas is doing.

Choice B reason: Projection involves attributing one's own unacceptable feelings or thoughts to others, which is not what Mr. Thomas is doing.

Choice C reason: Regression is a return to earlier stages of development when faced with stress, which does not describe Mr. Thomas's behavior.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not indicated in this scenario.

A. Nurse self-awareness. B. Trust. C. Limit setting. D. Vague communication to decrease feelings of inferiority.

Correct Answer is D

Explanation

Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.

Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.

Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.

Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying:

Correct Answer is A

Explanation

Nursing care for people with personality disorders includes all the following except:

Correct Answer is D

Explanation

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