A patient who had a total laryngectomy has a nursing diagnosis of hopelessness related to loss of control of personal care. Which information obtained by the nurse is the best indicator that this identified problem is resolving?
a. The patient lets the spouse provide tracheostomy care.
b. The patient allows the nurse to suction the tracheostomy.
c. The patient asks how to clean the tracheostomy stoma and tube.
d. The patient uses a communication board to request "No Visitors."
ANS: C
Independently caring for the laryngectomy tube indicates that the patient has regained control of personal care and hopelessness is at least partially resolved. Letting the nurse and spouse provide care and requesting no visitors may indicate that the patient is still experiencing hopelessness.
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