A patient, age 36, is scheduled for a unilateral orchiectomy for ...

[abern]

A patient, age 36, is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. Which action by the nurse is most appropriate?
 
  a. Carefully explain the post operative activity restrictions.
  b. Set a patient outcome that he will verbalize his understanding of the procedure.
  c. Assure him that he will have adequate future sexual functioning.
  d. Assess his concerns related to his diagnosis and treatment.

Question 2

The nursing staff at a long-term care facility are providing care for a male resident who requires total assistance owing to his severe Alzheimer's disease.
 
  Which of the following nursing actions are likely to foster the resident's dignity, personal worth, and individuality? (Select all that apply.) A) Ensuring that nursing actions are performed in privacy as much as possible.
  B) Using the resident's name when interacting with him, despite the fact that he is disoriented to person.
  C) Giving the resident choices and options even though he has difficulty making decisions.
  D) Attempting to engage the resident in conversation despite his cognitive losses.
  E) Minimizing stressors by performing as many of his ADLs as possible.

[k.lashomb]

Answer to Question 1

D
Nursing diagnoses for a patient with a reproductive disorder and surgery such as unilateral orchiectomy (removal of a testicle) include Disturbed body image and Ineffective coping.

Answer to Question 2

A, B, C, D
Feedback:
The nursing actions in answers A, B, C, and D can all facilitate the resident's dignity, freedom, and worth. Even if ADLs take longer for the resident to perform them himself, nurses should still allow for them rather than doing them for the resident.