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MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

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Arnold Swanson, who had a myocardial infarction 2 days ago, has been complaining to the nurse about issues related to his hospital stay. The best initial nursing response would be to:
  1. Allow him to release his feelings and then leave him alone to allow him to regain his composure.
  2. Refocus the conversation on his fears, frustrations, and anger about his condition.
  3. Explain how his being upset dangerously disturbs his need for rest.
  4. Attempt to explain the purpose of different hospital routines.
Explanation
Answer - B - Refocus the conversation on his fears, frustrations, and anger about his condition. This provides the opportunity for the client to verbalize feelings underlying behavior and can be helpful in relieving anxiety. Anxiety can be a stressor that can activate the sympatho-adrenal response, causing the release of catecholamines that can increase cardiac contractility and workload that can further increase myocardial oxygen demand.
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