Following a treadmill test and cardiac catheterization, the client is found to have coronary artery disease, which is inoperative. He is referred to the cardiac rehabilitation unit. During his first visit to the unit he says that he doesn't understand why he needs to be there because there is nothing that can be done to make him better. The best nursing response is:
a. "Cardiac rehabilitation is not a cure but can help restore you to many of your former activities."
b. "Here we teach you to gradually change your lifestyle to accommodate your heart disease."
c. "You are probably right but we can gradually increase your activities so that you can live a more active life."
d. "Do you feel that you will have to make some changes in your life now?"
Ans: a. "Cardiac rehabilitation is not a cure but can help restore you to many of your former activities."
Such a response does not have false hope to the client but is positive and realistic. The answer tells the client what cardiac rehabilitation is and does not dwell upon his negativity about it.
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