Cardiac-Vascular Nursing (CVRN) Practice Exam

What should a nurse do if a patient newly diagnosed with MI dismisses the importance of risk factor reduction?

1. Present research to support the need for risk factor reduction.

2. Assess the patient's perception of the event with open-ended questions.

3. Review the laboratory values with the patient.

4. Reinforce patient education.

The correct answer is: Assess the patient's perception of the event with open-ended questions.

A critical step when a patient newly diagnosed with a myocardial infarction (MI) dismisses the importance of risk factor reduction is to assess the patient's perception of the event using open-ended questions. This approach allows the nurse to engage the patient in a dialogue that can uncover underlying beliefs, fears, and misconceptions about their condition and the significance of managing their risk factors. Understanding the patient's perspective is essential in tailoring education and interventions to their specific needs. Open-ended questions can lead to insightful discussions, promoting a better understanding of the patient's mindset regarding their diagnosis and treatment. This patient-centered approach builds rapport and trust, encouraging the patient to become more involved in their care and more receptive to learning about the implications of risk factor reduction. While presenting research or reviewing laboratory values can also be useful, these methods might not address the underlying reasons for the patient's dismissal of risk factors directly. Reinforcing patient education may be beneficial later, but without first understanding the patient's perspective, such efforts could be ineffective. Engaging the patient in dialogue lays the groundwork for successful education and behavior change moving forward.