A nursing student is caring for a client who had a myocardial infarction. The student is confused because the client states nothing is wrong and yet listens attentively while the student provides education on lifestyle changes and healthy menu choices
What response by the faculty member is best?
a.
"Continue to educate the client on possible healthy changes."
b.
"Emphasize complications that can occur with noncompliance."
c.
"Tell the client that denial is normal and will soon go away."
d.
"You need to make sure the client understands this illness."
ANS: A
Clients are often in denial after a coronary event. The client who seems to be in denial but is compliant with treatment may be using a healthy form of coping that allows time to process the event and start to use problem-focused coping. The student should not discourage this type of denial and coping, but rather continue providing education in a positive manner. Emphasizing complications may make the client defensive and more anxious. Telling the client that denial is normal is placing too much attention on the process. Forcing the client to verbalize understanding of the illness is also potentially threatening to the client.
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