The nurse is working with a client who is post-heart-attack and who must modify her activities after discharge. Guilt is a major symptom of depression. Which of the following statements by the nurse can make a cardiovascular client's guilt worse?
a. "I will be in to talk to you in 15 minutes."
b. "How can you pace your current activities?"
c. "How can you prevent this from happening again?"
d. "What are your favorite activities?"
C
Asking how a client can prevent a heart attack from happening again is very likely to make the client's guilt over the heart attack worse because of the subtle implication that the client could have done something to prevent the previous heart attack. While having better eating and activity habits may lower the risk of a heart attack, there is no guarantee that such behavior will eliminate all risk of a heart attack. Furthermore, guilt resulting on what one could have done before to prevent the heart attack may be counterproductive.
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