A nurse is assessing a client who has permanent spinal cord injury and is scheduled for discharge. which of the following client statement indicates the client is coping efficiently?

·A)       "I would like to play wheelchair basketball. When I get stronger, I think I'll look for a league."

B)      "I'm glad I'll only be in this wheelchair temporarily. I can't wait to get back to running."

C)        "I'm so upset that this happened to me. What did I do to deserve this, and why am I not getting better?"

D)        "I feel like I'll never be able to do anything that I want to again. All I am is a burden to my family."

Answer: 

A.  "I would like to play wheelchair basketball. When I get stronger, I think I'll look for a league."

Step-by-step explanation

Explanation:

 A.) "I would like to play wheelchair basketball. When I get stronger, I think I'll look for a league."

The client is no longer resisting the reality of his/her situation. This is a clear indication that the client is now coping efficiently and is now willing and ready to adopt to his present condition.

B.) "I'm glad I'll only be in this wheelchair temporarily. I can't wait to get back to running."

Spinal cord injury is direct and permanent damage to the spinal nerves. Few individuals sustaining this injury recover all their functions. Only in rare cases do people with spinal cord injury regain normal or some functioning years after the injury. Depending on the severity of the injury and its location on the spinal cord. Symptoms may include complete or partial loss of sensory function or motor control of arms, legs, and/or body. In severe cases, it can also affect bladder or bowel control, heart rate, breathing, and blood pressure. 

C)        "I'm so upset that this happened to me. What did I do to deserve this, and why am I not getting better?"

D)        "I feel like I'll never be able to do anything that I want to again. All I am is a burden to my family."

In choices C and D, the client here is showing anger (C) and depression (D).