A patient has developed an acute loss of hearing and is diagnosed with a conversion dis-order. Which nursing diagnosis would be most appropriate?
a. Hearing impairment
b. Panic-level anxiety
c. Disturbed sensory perception
d. Denial due to a medical condition
ANS: C
The diagnosis of conversion disorder in this case results in a disruption of the patient's ability to perceive sensations, not a true loss or impairment of hearing. There is no evidence to sup-port panic-level anxiety or a medical condition causing denial.
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A baby in the nursery is 18 hours old. Which piece of information would be most essential to pass on to the next shift?
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The patient has begun to experience a marked decline. His family tells the nurse that these problems are a result of their inability to care for the patient properly. The nurse best responds by: a. evaluating the care the family has been providing. b. suggesting that care should be assumed by a professional caregiver. c. helping the family recognize that the de-cline is a result of the patient's condition and personal choices. d. assuring them they are providing the pa-tient with care motivated by love.