Registered Practical Nurse (RPN) Practice Test

What aspect should a nurse assess in a cardiac surgery patient to evaluate for depression six days postoperatively?

1. Current medication adherence

2. Support system availability

3. Past psychiatric history

4. Physical rehabilitation progress

The correct answer is: Past psychiatric history

Evaluating a cardiac surgery patient for depression involves understanding various aspects of their mental health, particularly their past psychiatric history. This information can provide critical insight into the patient's vulnerability to developing depression postoperatively. A history of depression or other mental health issues may predispose the patient to be at greater risk for similar issues following surgery, as mental health conditions can be exacerbated by the stress of undergoing major surgery and the recovery process. Although factors like current medication adherence, support system availability, and physical rehabilitation progress can also play significant roles in a patient's overall recovery and emotional well-being, they do not specifically target the risk factors associated with depression on a psychological level like past psychiatric history does. Knowing whether a patient has dealt with psychiatric disorders in the past can guide interventions and support the healthcare team's approach to their mental health care after surgery, making this aspect particularly relevant in evaluating potential depression postoperatively.