A nurse is working on a surgical unit and has several patients who require preoperative teaching. Which patient demonstrates behavior indicating this is an appropriate time to begin teaching?
A) A patient who is wide eyed and extremely frightened about being put to sleep
B) A patient who appears to be unconcerned about what is happening and wants to watch his favorite TV show
C) A patient who is clearing her throat several times while asking the nurse questions during their conversation and who appears to be slightly stressed
D) A patient who is getting up and down from the bed, talking very fast, and appears to be extremely anxious
C
Feedback:
Several substances appear to affect learning. Antidiuretic hormone (ADH), which is released during reactions to stress, is one such substance. Although too much stress prevents learning, feeling slightly stressed may increase a person's ability to learn. A patient who is a little nervous about upcoming surgery, for example, seems to display a better mastery of facts about the surgery and postoperative procedures than a patient who is very stressed and scared or one who appears to show no interest or concern.
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