A male client discloses that he lost his wife of 51 years last year to cancer and that the recent fire in his house was just too much for him to handle. Pending further assessment, the most appropriate nursing diagnosis at this time is what?
A) Agitation related to change of environment
B) Situational crisis related to fire
C) Dysfunctional grieving related to death of wife
D) Emotional lability due to dementia
Ans: B
The recent fire is an immediate stressor that has placed the client into crisis. Although the loss of his wife is an important factor in his adjustment, and he is undoubtedly still grieving over that loss, the more immediate diagnosis would center on the situational crisis related to the recent fire. There are no data to support that the client is emotionally labile.
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