Three days after experiencing a myocardial infarction (MI), a patient who is scheduled for discharge asks for assistance with hygiene activities, saying, "I am too nervous to take care of myself."
Based on this information, which nursing diagnosis is appropriate?
a. Ineffective coping related to anxiety
b. Activity intolerance related to weakness
c. Denial related to lack of acceptance of the MI
d. Disturbed personal identity related to understanding of illness
ANS: A
The patient data indicate that ineffective coping after the MI caused by anxiety about the impact of the MI is a concern. The other nursing diagnoses may be appropriate for some patients after an MI, but the data for this patient do not support denial, activity intolerance, or disturbed personal identity.
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