Registered Practical Nurse (RPN) Practice Test

When a patient expresses reluctance about an elective surgery, what should the nurse do?

1. Encourage the surgery for health reasons

2. Discuss the benefits of the surgery

3. Listen to the patient and cancel the surgery

4. Speak to the daughter about the necessity of the surgery

The correct answer is: Listen to the patient and cancel the surgery

In situations where a patient expresses reluctance about an elective surgery, listening to the patient is crucial. This approach demonstrates respect for the patient's autonomy and acknowledges their concerns, which can foster trust in the nurse-patient relationship. Engaging in active listening allows the nurse to understand the patient's perspective, fears, and preferences. Rather than making unilateral decisions or influencing family members about the necessity of the surgery, the focus should remain on the patient’s feelings and choice regarding their care. While the nurse may provide information about the surgery's benefits or health implications, these discussions should occur only after the patient feels heard and understood. Ultimately, the patient's consent and comfort are essential in the decision-making process regarding their treatment, particularly for elective procedures that involve personal risk.