Cardiac-Vascular Nursing (CVRN) Practice Exam

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What does a statement reflecting "It doesn't really matter what I do or don't do" suggest about a myocardial infarction patient’s mindset?

Acceptance of changed health status
An internal locus of control
Feelings of loss of control
Projection

The correct answer is: Feelings of loss of control

The statement "It doesn't really matter what I do or don't do" indicates feelings of loss of control, which is a significant aspect of the patient’s mindset regarding their condition. This sentiment often arises in individuals facing serious health issues, such as a myocardial infarction. When patients feel that their actions have no impact on their health outcomes, it suggests a perception of helplessness or resignation about their situation. This mindset can stem from various factors, including experiences of past failures to influence their health positively or overwhelming stress related to their diagnosis. Recognizing such feelings in patients is crucial for nurses and healthcare professionals, as they can then provide appropriate emotional support and interventions aimed at empowering patients and encouraging a sense of agency in managing their health. This contrasts with acceptance of changed health status, which would imply an understanding and acceptance of one’s condition without the same sense of futility.