A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery
The surgery is scheduled for the following week. That afternoon the patient calls the nurse and tells her he wants to cancel the surgery because he thinks he might be better off dead. The nurse asks him why he feels that way. The patient states "My wife won't want to have sex with me anymore. He says he feels like he's spoiled a happy, satisfying sex life with his wife and he starts to cry. Based on these statements, which nursing diagnosis would be most appropriate for creating a plan of care for this patient?
A) Situational low self-esteem
B) Inability to function
C) Social isolation
D) Risk for loneliness
Ans: A
Feedback: Because the patient may have difficulty coping with his condition, issues related to body image and sexuality should be addressed. The scenario stated in this case is typical of a patient with situational low self-esteem. The diagnosis of inability to function is a distracter for this question. This patient is at risk for social isolation and loneliness, but there's no indication in the scenario that these diagnoses are present.
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