The client with somatoform pain disorder reveals to the nurse that he has begun to question why
God has chosen to have him lead the life of an invalid who is unable to provide for his family.
He
states that he believes the burden placed on his spouse and his children may be even greater than the
burden he must bear. He blames God for punishing his "innocent family.". Select the nursing
diagnoses that could be developed for the client. (More than one answer may be correct.)
A. Spiritual distress
B. Self-care deficit
C. Decisional conflict
D. Ineffective role performance
ANS:
A, D
Rationale: The client's verbalization is consistent with spiritual distress. Moreover, his description
of being unable to provide for and burdening his family suggests ineffective role performance. Data
are not provided to support diagnoses of self-care deficit or decisional conflict.
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