The Nurse Completes Discharge Instructions for a Patient with a Total

question 24

Multiple Choice

The nurse completes discharge instructions for a patient with a total laryngectomy.Which statement by the patient indicates that additional instruction is needed?

• A) "I must keep the stoma covered with an occlusive dressing at all times."
• B) "I can participate in most of my prior fitness activities except swimming."
• C) "I should wear a Medic-Alert bracelet that identifies me as a neck breather."
• D) "I need to be sure that I have smoke and carbon monoxide detectors installed."

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Definitions:

Thematic Apperception

A psychological method and assessment tool where individuals express their thoughts and feelings through the stories they make up about ambiguous images.

Need for Achievement

A psychological trait that drives an individual to pursue and attain goals, often characterized by determination and ambition.

Internal-External

A dimension in locus of control referring to the degree to which individuals believe they have control over events affecting them (internal) vs. believing external forces are responsible.

External Person

An individual viewed or considered from an external outlook, often in contrast to one's own internal perspective.