CAPA CAPA Anxiety & Psychological Support 2

Question 1

Which non-pharmacologic intervention has STRONG evidence for reducing preoperative anxiety in adults?

Accepted Answer

Music therapy and guided relaxation

Answer

Music therapy and guided relaxation have demonstrated effectiveness in reducing anxiety without pharmacologic side effects in the perioperative setting.

Question 2

A patient expresses extreme fear about waking up during surgery. The BEST nursing response is to:

Accepted Answer

Validate the concern and explain intraoperative monitoring protocols

Answer

Validating the patient's concern and providing factual information about anesthesia monitoring addresses fear with both empathy and education.

Question 3

Emergence delirium is MOST commonly seen in which patient population in the PACU?

Accepted Answer

Young children and older adults

Answer

Young children (especially ages 2-6) and elderly adults are most susceptible to emergence delirium due to developmental and neurological factors.

Question 4

Which assessment tool is MOST appropriate for screening for postoperative delirium in elderly patients?

Accepted Answer

Confusion Assessment Method (CAM)

Answer

The Confusion Assessment Method (CAM) is the gold standard tool for identifying delirium in non-ICU patients, including postoperative elderly adults.

Question 5

A patient recovering from ambulatory surgery is tearful and states they feel like something is wrong. The nurse should:

Accepted Answer

Thoroughly assess the patient for physiologic and psychological concerns

Answer

Tearfulness or a sense of impending doom can be a symptom of both psychological distress and serious physiologic events and requires thorough assessment.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA CAPA Anxiety & Psychological Support 2