HESI Level 1 Practice Exam

The appropriate nursing diagnosis is focused on the dynamics of family coping in the context of the client's health challenges. When a spouse insists on doing everything for the client with right-sided paresis and aphasia, it indicates a coping style that may not effectively support the patient's independence or adaptive transition.

This diagnosis emphasizes the impact of a significant person's coping strategies on the overall process of rehabilitation and care. The spouse's approach could potentially inhibit the client's opportunities for recovery, participation, and autonomy, framing the coping dynamics as 'dissonant.' This term reflects a mismatch between the needs of the client and the actions of the caregiver, which can lead to an ineffective coping mechanism within the family system.

Recognizing this unhealthy dynamic allows healthcare providers to intervene appropriately, offering support to both the patient and the spouse, and promoting healthier coping strategies that foster the client's independence and engagement in their care. This approach not only aids the client but also encourages the spouse to find a balance in their caregiving role.