Question

A client repeatedly tells the nurse that all will be well and Im fine in response to learning of a health problem that requires immediate surgery. The nurse realizes that which diagnosis is appropriate for the client at this time?

Answer 1

The client's claim that 'all will be well' and 'I'm fine', despite a serious health issue requiring immediate surgery, suggests that the client may be experiencing 'Denial'. This defense mechanism is employed to reduce anxiety about the situation by refusing to accept the reality of the health problem.

Step-by-step explanation:

The scenario presented suggests that the client is likely experiencing a psychological defense mechanism due to stress from learning about a health issue requiring immediate surgery. The appropriate diagnosis for the client in this situation could be 'Denial'. Denial is a common coping strategy where an individual refuses to accept reality or facts, acting as though a painful event, thought, or feeling does not exist. It is a defensive mechanism mentally employed to reduce anxiety by shutting out the awareness of a threatening situation or painful emotion.

Healthcare professionals, including the surgeon, nurse, and anesthesia professional, play a critical role in recognizing symptoms of denial. These professionals collaborate to ensure patient safety, undertake appropriate preoperative preparations, and support the patient throughout the surgical process. Moreover, they review aloud the key concerns for the recovery and care of the patient, including addressing any psychological impediments that may affect the healing process.