A 52-year-old patient has had a laryngectomy in treatment of ...

[Kikoku]

A 52-year-old patient has had a laryngectomy in treatment of cancer. A nursing diagnosis for the patient with a laryngectomy would be social isolation related to impaired verbal communication related to removal of the larynx.
 
  The correct nursing intervention would be a. complete care quickly.
  b. provide a pad and pencil or magic slate available.
  c. refrain from conversations with the patient to reduce his stress level.
  d. offer books or jigsaw puzzles for entertainment.

Question 2

A 78-year-old resident with a diagnosis of melanoma is experiencing anxiety related to the appearance of the large and highly visible lesion on the right cheek.
 
  Which of the following nursing actions is most likely to decrease the resident's anxiety? A) Forewarn visitors and staff that the resident's appearance is likely to be disturbing.
  B) Facilitate psychological counseling to help the resident cope with an altered appearance.
  C) Resolve to interact with and touch the resident no differently than other residents.
  D) Avoid touching the resident's face in order to preclude embarrassment.

[akemokai]

Answer to Question 1

B
Provide patient with implements for communication. Rapidly completing care and provision of solitary activities does not reduce social isolation.

Answer to Question 2

C
Feedback:
It is important to treat persons with integumentary conditions normally and to touch them and interact with them no differently than with other people. This action would supersede counseling in importance and warning staff may perpetuate different treatments.