A client who recently underwent a total laryngectomy and can no longer speak is observed to be frequently irritable and argumentative with family and nursing staff. Which interpretation by the nurse is the most accurate?
This behavior is an expected and final stage of the grief process, indicating acceptance.
The client is demonstrating effective coping by expressing their feelings openly.
The client's behavior is likely a manifestation of maladaptive coping with their loss of speech.
The client's personality is the most likely reason for their difficult behavior.
The correct interpretation is that the client is likely using maladaptive coping mechanisms to deal with a significant life-altering change. Irritability and argumentativeness are common signs of ineffective or maladaptive coping, which may include emotional dysregulation and hostility. While anger can be a normal part of the grieving process, when it is expressed as persistent irritability and argumentativeness, it suggests the client is struggling to adapt constructively. It is not a sign of effective coping, which involves more constructive behaviors like seeking support or problem-solving. The behavior should not be attributed solely to the client's personality without further assessment. It is the nurse's role to recognize these cues as a potential sign of distress and intervene to help the client develop healthier coping strategies.
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Psychosocial Integrity
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