A 68-year-old client has recently been diagnosed with macular degeneration, which has significantly impaired their vision. During a follow-up visit, the client states, 'I feel like I’m losing my purpose in life. I can’t drive or do the things I love anymore.' Which nursing intervention is most appropriate at this time?
Reassure the client that they will adjust to the changes over time.
Explore the client’s feelings and discuss strategies for adapting to the vision changes.
Refer the client to a therapist who specializes in vision loss support groups.
Encourage the client to focus on maintaining independence in daily activities.
The correct answer is to explore the client’s feelings and discuss ways to adapt to the vision changes while finding meaningful activities. By focusing on the emotional impact of the client's situation and identifying ways to cope constructively, the nurse addresses both the client’s psychosocial needs and sense of purpose. Encouraging the client to adapt to the changes fosters resilience and minimizes feelings of helplessness. Reassuring the client without offering solutions does not fully acknowledge their emotional distress. Referring them to a therapist may be premature without first conducting a thorough assessment of their current coping mechanisms. Emphasizing their independence without addressing their emotional concerns may unintentionally dismiss the impact of their vision loss.
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What is macular degeneration and how does it affect vision?
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NCLEX RN
Psychosocial Integrity
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