Cardiac-Vascular Nursing (CVRN) Practice Exam

Which nursing diagnosis would apply to a patient undergoing cardiac surgery?

1. Potential altered family dynamics

2. Potential for noncompliance

3. Potential altered nutrition

4. Potential fear or anxiety related to surgery

The correct answer is: Potential fear or anxiety related to surgery

The diagnosis of potential fear or anxiety related to surgery is particularly relevant for patients undergoing cardiac surgery due to the significant emotional and psychological impact such procedures can have. Cardiac surgery is often associated with life-threatening conditions and involves considerable physical changes, which can evoke a high level of stress and apprehension in patients. Patients might experience fear about the surgery itself, worries about potential complications, the outcome of the procedure, or anxiety regarding the recovery process. Addressing these emotional concerns is crucial for overall patient care, as they can affect the patient’s ability to comply with preoperative and postoperative instructions, their pain management, and even their recovery speed. By identifying this diagnosis, the nursing team can implement strategies for psychological support, educate the patient about what to expect, and help to alleviate fears through open communication and reassurance. This holistic approach to patient care acknowledges the significant interplay between physical and mental health, particularly in the context of major surgeries.