A 38-year-old man has just received word that his latest computed tomography (CT) scan of his head indicates an inoperable brain tumor that is associated with an exceptionally poor prognosis. The man has confided to the nurse,
"I think that this is punishment for being unfaithful to my wife, and she doesn't even know that." The nurse would recognize a possible deficit in which of the balancing factors affecting the client's crisis response?
A) Realistic perception of the event
B) Adequate situational support
C) Adequate defense or coping mechanisms
D) Experience with similar situations
Ans: A
The interpretation of a medical diagnosis as punishment by a higher power may signal an unrealistic perception of the crisis, potentially affecting the individual's ability to respond. The client's statement does not suggest a lack of support or impaired coping strategies. While the client likely has little experience with similar situations, this is not the focus of his statement.
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