Author Question: A client, who is recovering from a severe myocardial infarction, was moved from the cardiac ... (Read 41 times)

ericka1 · **on:** Jul 19, 2018

A client, who is recovering from a severe myocardial infarction, was moved from the cardiac
intensive care unit to the cardiac step-down unit. He tells the new nurse I will be fine once I get
home.

None of that 'watch your cholesterol, watch your calories, watch your stress' stuff is for me.
Nobody has mentioned it, so it will be business as usual.. Which nursing diagnosis should the nurse
consider adding to the client's care plan?
a. Fear related to unknown aspects of hospitalization
b. Deficient knowledge related to new diagnosis of myocardial infarction
c. Health-seeking behaviors related to desire to seek a higher level of wellness
d. Powerlessness related to unmet need to remain in control

Question 2

The tertiary prevention therapy the nurse should recommend for the distressed family and friends of
someone who has committed suicide is

a. psychological postmortem assessment.
b. attending a self-help group for survivors.
c. participating in reminiscence therapy.
d. contracting for two sessions of dynamic group therapy.

livaneabi · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The client may be denying the seriousness of his condition or he may simply not know about risk
factors and posthospital treatment plans. By receiving health teaching regarding risk factors related
to his condition and his treatment plan, denial can be diminished and knowledge can be increased.
The defining characteristics are not present for any of the other diagnoses listed as options.

Answer to Question 2

B
Survivors need outlets for their feelings about the loss and the deceased person. Self-help groups
provide peer support while survivors work through feelings of loss, anger, and guilt. Option A would
not provide the support necessary to work through feelings of loss associated with the suicide of a
family member. Option C is not geared to loss resolution. Option D would probably not provide
sufficient time to work through the issues associated with a death by suicide.