A nurse cares for a client who is recovering from a myocardial infarction. The client states, "I will need to stop eating so much chili to keep that indigestion pain from returning." How should the nurse respond?
a. "Chili is high in fat and calories; it would be a good idea to stop eating it."
b. "The provider has prescribed an antacid for you to take every morning."
c. "What do you understand about what happened to you?"
d. "When did you start experiencing this indigestion?"
ANS: C
Clients who experience myocardial infarction often respond with denial, which is a defense mechanism. The nurse should ask the client what he or she thinks happened, or what the illness means to him or her. The other responses do not address the client's misconception about recent pain and the cause of that pain.
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