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    Hesi lpn exit proctored exam

    A client is seen in the clinic after a failed in-vitro fertilization. Which nursing problem has the highest priority?

    Explanation & Rationale

    A. Impaired verbal communication: While difficulty expressing feelings may occur after IVF failure, it does not immediately threaten the client’s emotional or physical well-being and is lower priority compared to coping. B. Ineffective individual coping: Emotional distress after a failed IVF attempt can significantly affect mental health, daily functioning, and decision-making. Supporting effective coping is the highest priority to prevent depression, anxiety, or maladaptive behaviors. C. Altered sexuality patterns: Concerns about sexual intimacy may develop following infertility treatment, but these issues are secondary to the client’s immediate coping and emotional adjustment needs. D. Impaired social isolation: Social withdrawal can occur due to emotional distress, but it is a consequence of ineffective coping. Addressing coping strategies first helps prevent or reduce social isolation.

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