Cardiac-Vascular Nursing (CVRN) Practice Exam

What is a cardiac-vascular nurse's primary concern for a patient post-myocardial infarction who expresses a sense of hopelessness?

1. Immediate referral to rehabilitation

2. Assessment for potential suicide risk

3. A discussion about lifestyle changes

4. Monitoring cardiac rhythm

The correct answer is: Assessment for potential suicide risk

A cardiac-vascular nurse's primary concern for a patient post-myocardial infarction who expresses a sense of hopelessness should focus on assessing for potential suicide risk. This is crucial because a sense of hopelessness can be a significant indicator of depression or mental health issues that might arise after experiencing a severe event such as a myocardial infarction. Patients may struggle with overwhelming emotions, fears about the future, and the impact of their heart condition on their quality of life. Recognizing and addressing suicidal thoughts or feelings is essential in ensuring comprehensive patient care. Conducting a thorough assessment can help identify the severity of these thoughts and facilitate appropriate interventions, such as psychological support, counseling, or referral to a mental health professional. Addressing mental health is equally important as physical rehabilitation in enhancing the overall recovery of a patient post-infarction. While rehabilitation, lifestyle changes, and monitoring cardiac rhythm are all vital aspects of post-myocardial infarction care, they take a secondary role to the immediate mental health needs of the patient expressing hopelessness. Ensuring the psychological well-being of the patient is foundational for engaging effectively with other aspects of care and recovery.