Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?
Explanation & Rationale
A) "I usually wait about two hours after I feel chest discomfort to seek medical attention.": This statement is particularly concerning as it suggests a dangerous delay in seeking help during a potentially critical situation. Waiting to seek medical attention for chest discomfort can indicate a lack of understanding of the seriousness of the symptoms, which may hinder effective adaptation to the illness and could result in severe health risks. B) "I know that I should carry my medication with me in case I develop chest pain.": This statement shows that the client is aware of the importance of having their medication accessible during a potential cardiac event. It indicates a level of preparedness and understanding of their condition, suggesting that the client is adapting well to managing their illness. C) "My wife and I will learn to cook using the 'good' cooking methods.": This statement reflects a proactive approach to lifestyle modifications, indicating that the client is willing to make dietary changes to improve their health. Such positive steps are a sign of adapting effectively to coronary artery disease. D) "I feel a little anxious when I get chest discomfort.": While anxiety is a natural response to experiencing chest discomfort, this statement alone does not indicate an inability to adapt. Acknowledging feelings of anxiety can be part of a healthy coping mechanism as the client learns to manage their condition.