Weekly NCLEX/HESI Question for May 26


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May 26

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A 40 year old client with rheumatoid arthritis is seen to be reserved, and does not interact with family. When the nurse questions the client about her behavior, the client tells the nurse that she must either withdraw or cry constantly because she cannot cope with the notion that her disease is chronic. Which nursing diagnosis is  MOST appropriate:
Denial of disease process related to inability to cope
Ineffective coping related to disruption of emotional bonds
Ineffective coping related to inadequate psychological resources
Impaired adjustment related to unwillingness to modify lifestyle accordingly for chronic illness
Question 1 Explanation: 
The answer is (c) The client has told the nurse that the problem is her lack of psychological resources is causing her behavior. It may be possible that she could cope once given these tools.
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