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【简答题】
患者,男,60岁,农民。因“进食硬噎感1个月”入院。 患者1个月前无明显诱因出现进食时有硬噎感,进食固体食物,半流食物则不明显,偶有胸骨后烧灼感。遂到当地医院做X线钡餐检查,初步诊断为“食管癌”。 患者接到诊断时,第一反应就是“这不可能,肯定是乡下医生搞错了” 。于是与省城工作的儿子联系。在儿子的安排下,患者来到省城医院诊治,门诊X线钡餐检查示“食管上段右侧壁毛刺样改变,范围约 1cm×0.8cm”,确诊为“早期食管癌”。于是立即办理了入院手续,准备手术治疗。 病房责任护士发现该患者不愿多进食,沉默寡言。经交谈得知是因为患者担心食物对食管刺激,而且认为自己得了不治之症,对生活失去信心;患者还强调自己是自费的,尽量用最便宜的药;刚入院与邻床患者因洗手间问题产生争执;当收到手术通知后,患者紧张焦虑,术前无法入睡。 请问:1.该患者的压力源有哪些? 2.评估患者压力的常用方法有哪些? 3.患者接到初步诊断时的反应属于何种心理防御机机制? 4.作为护士,帮助该患者应对压力?
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B.
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C.
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Because he is often dissatisfied with what he has done.
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