The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)
Tell them everything will be okay.
Include family members in teaching.
Identify knowledge deficiencies.
Provide the patient with written and verbal materials.
Determine the patient's anxiety levels.
Document patient understanding and teaching provided.
Correct Answer : B,C,D,E,F
Choice A reason: Telling the patient everything will be okay is not an appropriate intervention as it does not address the specific educational needs related to their knowledge deficit.
Choice B reason: Including family members in teaching can provide additional support and help reinforce the information provided to the patient.
Choice C reason: Identifying knowledge deficiencies is essential to tailor the education to the patient's specific needs.
Choice D reason: Providing written and verbal materials can help the patient understand and remember the information about their surgery and care.
Choice E reason: Determining the patient's anxiety levels can help the nurse address any concerns or fears that may affect their learning.
Choice F reason: Documenting patient understanding and teaching provided is important for continuity of care and to ensure that the patient has received and understood the necessary information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While individuals with obsessive-compulsive personality disorder may seek advice, it is not typically to an excessive amount, and this does not capture the essence of the disorder.
Choice B reason: Using physical appearance to gain attention is not a characteristic of obsessive-compulsive personality disorder; it is more associated with histrionic personality disorder.
Choice C reason: Being preoccupied with order and following rigid rules is a core feature of obsessive-compulsive personality disorder, reflecting a need for control and perfectionism.
Choice D reason: Believing one's achievements are superior to others is indicative of narcissistic personality disorder, not obsessive-compulsive personality disorder.
Correct Answer is A
Explanation
Choice A reason: Clients with OCD often engage in compulsive behaviors, such as cleaning, to manage their anxiety levels. Recognizing this can help the nurse provide appropriate support and interventions.
Choice B reason: While the tasks may seem useful, the compulsive nature of the behavior is driven by anxiety rather than a focus on productivity.
Choice C reason: The behavior is not about limiting social interaction; it is a manifestation of the client's OCD.
Choice D reason: The behavior is not intended to manipulate or control others but is a symptom of the client's OCD.
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