Pre-Surgical Patient Assessment Flashcards
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Read the first 7 Pre-Surgical Patient Assessment flashcards as text
Which finding on cognitive assessment would most warrant further evaluation before bariatric surgery clearance?
Answer: Inability to explain the procedure or its lifelong requirements after education
Capacity to understand the procedure and its lifelong demands is essential for consent and adherence, so persistent lack of understanding requires further evaluation.
A patient stopped taking prescribed antidepressants two weeks ago without telling their psychiatrist. Why is this significant pre-surgically?
Answer: Psychiatric instability and nonadherence patterns predict postoperative risk and require stabilization
Abrupt discontinuation suggests both psychiatric destabilization risk and a nonadherence pattern that threatens postoperative outcomes.
Which comorbidity, when documented during assessment, most strengthens a BMI-35 patient's surgical qualification under traditional criteria?
Answer: Type 2 diabetes mellitus
Type 2 diabetes is a major obesity-related comorbidity that qualifies patients with BMI 35-39.9 under traditional criteria.
In evaluating readiness for change, a patient says: 'My wife wants me to have this surgery, but I don't think I need it.' Which stage of change does this best reflect?
Answer: Precontemplation
Denying the personal need for change while others push for it reflects the precontemplation stage of the transtheoretical model.
Why do assessment protocols typically include an upper endoscopy or imaging before certain bariatric procedures?
Answer: To identify anatomical issues like hiatal hernia, ulcers, or H. pylori that need treatment first
Endoscopy detects conditions such as hiatal hernia, ulcers, or H. pylori infection that must be addressed before or during surgery.
A patient with BMI 41 asks why they must attend a support group before surgery. What is the best counselor explanation?
Answer: Preoperative support groups build realistic expectations and connect patients to long-term peer accountability
Support group participation improves expectation-setting and creates peer accountability associated with better long-term outcomes.
During the final pre-surgical review, which combination best indicates a patient is ready for bariatric surgery?
Answer: Medical optimization, psychological clearance, demonstrated dietary adherence, and realistic expectations
Surgical readiness is multidimensional, combining medical optimization, psychological stability, adherence evidence, and realistic expectations.