The nurse is caring for a patient who has dysfunctional grieving after the traumatic loss of a spouse. The patient tells the nurse, "I'm so mad at God." What nursing diagnosis would be most appropriate for this patient?

1. Hopelessness
2. Powerlessness
3. Risk for violence
4. Spiritual distress


Answer: 4
Explanation: 4. The most appropriate nursing diagnosis for the patient is spiritual distress. Spiritual distress is best described by the disruption of an individual's capacity to assimilate or find meaning and purpose in his or her life by connecting with self, others, the arts, nature, and/ or a higher power. Hopelessness is a state in which an individual feels restrained (without choices or alternatives) and immobilized. Powerlessness is defined as the belief that one has no control over circumstances or outcomes. Risk for violence is a diagnosis for individuals who are aggressive and angry and may become violent. Though this patient states he is mad, the patient does not present as violent.

Nursing

You might also like to view...

Which example of behavior within a family system should be assessed as double-bind communication?

a. A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you.". b. A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 PM on a school night.". c. A son tells his mother, "You worry too much about what might happen; nothing has happened yet so why worry?" d. A wife tells her husband, "You go ahead and go bowling and try not to worry about me falling on my crutches while I'm alone at home.".

Nursing

What is Baby Sitar's Apgar? Heart rate 76, respirations weak cry, muscle tone slight flexion of extremities, reflexes grimace, color pink with blue extremities:

A) 2. B) 3. C) 4. D) 5.

Nursing

The nurse works with a recovering heroin addict who is currently receiving opioid substitution treatment. Besides reducing his use of heroin, what additional benefits are offered by this treatment? (Select all that apply.)

A) Reduction in alcohol use B) Weight loss C) Decrease in transmission of HIV D) Improving the client's overall health E) Decrease in depression

Nursing

The statement made by a parent that indicates an understanding of the health maintenance of a child with sickle cell anemia is:

a. "I should give my child a daily iron supplement.". b. "It is important for my child to drink plenty of fluids.". c. "He needs to wear protective equipment if he plays contact sports.". d. "He shouldn't receive any immunizations until he is older.".

Nursing