FREE ABPANC Behavioral Health/Cognitive Needs Questions and Answers
A patient in the PACU is waking up after anesthesia and begins crying and asking repeatedly, “What happened to me?” What is the nurse’s best response?
This response reassures the patient by providing emotional support and essential information while validating their confusion and fears. Addressing patient anxiety and providing a calm, clear explanation helps reduce behavioral stress in the immediate post-anesthesia phase.
A child scheduled for ambulatory surgery begins to cry and refuse to go into the operating room. What is the most appropriate intervention by the nurse?
Allowing a parent to accompany the child helps provide emotional support and reassurance, which can alleviate fear and anxiety. This action respects the child’s behavioral and emotional needs, improving their overall experience.
A post-anesthesia patient begins exhibiting signs of delirium, including restlessness and pulling at IV lines. What is the nurse's priority action?
Post-anesthesia delirium often has physiological causes such as hypoxia, electrolyte imbalances, or pain. The nurse must assess and address these factors first before considering sedation or restraints. Safety and a thorough assessment are always the priorities.
A patient recovering from surgery is anxious and expresses concern about returning to work due to financial stress. What is the nurse’s most appropriate response?
This response acknowledges the patient’s anxiety and provides a resource (social worker) to help address their concerns. It demonstrates emotional support and advocacy while focusing on a solution for the patient’s financial stress.
An elderly patient in Phase I recovery becomes agitated and repeatedly asks for their spouse, who has passed away. What is the most therapeutic nursing response?
This response provides emotional reassurance while avoiding reorientation that may cause further agitation. Elderly patients recovering from anesthesia may experience cognitive changes, and offering comfort helps reduce anxiety and distress.