The nurse assesses a young adult client who was involved in a swimming accident, resulting in tetraplegia. The client makes eye contact with the nurse and states, "I'm going to beat this and walk out of here."
Based on this data, which nursing diagnosis is the most appropriate for this client?
A) Risk for Post-Trauma Syndrome
B) Impaired Physical Mobility
C) Self-Care Deficit
D) Noncompliance
Answer: A
The client's statement is unrealistic and is evidence of Risk for Post-Trauma Syndrome. Although the client with tetraplegia does have Impaired Physical Mobility and Self-Care Deficit, this statement is not evidence of those nursing diagnoses. There is no indication of Noncompliance.
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A client is having major surgery tomorrow. Which statement by the client indicates understanding of the preop teaching?
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