Question

A client is admitted to the emergency room with a diagnosis of acute myocardial infarction. The client tells the nurse, "I'm scared. I think I'm going to die." Which of the following responses by the nurse would be most appropriate?

1. "Everything is going to be fine. We'll take good care of you."
2. "I know what you mean. I thought I was having a heart attack once."
3. "I'll call your doctor so you can discuss it with her."
4. "It's normal to feel frightened. We're doing everything we can for you."

Answer 1

The most appropriate nurse response to a client with acute myocardial infarction who is scared of dying is to validate their feelings and reassure them about the care being provided. Myocardial infarction requires immediate emergency treatment and emotional support.

Step-by-step explanation:

If a client is admitted to the emergency room with a diagnosis of acute myocardial infarction (MI), also known as a heart attack, and expresses fear of dying, the most appropriate response for a nurse would be, "It's normal to feel frightened. We're doing everything we can for you." This acknowledges the client's fear without dismissing it and assures them that they are in capable hands.

Myocardial infarction occurs when blood flow is obstructed to a part of the heart, leading to the death of myocardial cells. Symptoms can include chest pain, difficulty breathing, irregular heartbeat, and nausea, among others. Diagnosis is critical as symptoms can mimic less severe conditions. Emergency treatment can include medication, surgical intervention, and continuous monitoring. In case of such a severe event, emotional support is an integral part of patient care.