A 35-year-old woman comes to the local health center with a large mass in her right breast. She has felt the lump for about a year, but was afraid to come to the clinic because she was sure it was cancer
What is the most appropriate nursing diagnosis for this patient?
A) Self-esteem disturbance related to late diagnosis
B) Ineffective individual coping related to reluctance to seek care
C) Altered family process related to inability to obtain treatment
D) Ineffective denial related to reluctance to seek care
Ans: B
Feedback:
Ineffective individual coping is the inability to assess our own stressors and then make choices to access appropriate resources. In this case, the patient was unable to access health care even when she was aware the disorder could be life-threatening. Self-esteem Disturbance, Altered Family Process, and Ineffective Denial are all nursing diagnoses that are often associated with breast cancer, but the patient's ineffective individual coping has created a significant safety risk and is, therefore, the most appropriate nursing diagnosis.
You might also like to view...
The nurse understands that culture and religious traditions and practices: Standard Text: Select all that apply
1. Should be supported by the healthcare team 2. Often determine expression of grief 3. Encourage outward expressions of grief 4. Are diverse in the United States 5. Require individualized care
A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?
Specificity of an instrument used for diagnosis refers to what?
a. Its ability to detect error b. Its ability to detect the presence of a condition or illness c. Its ability to detect the absence of a condition or illness d. Its true positives minus its false negatives
Reducing LDL levels is the first step for both primary and secondary prevention of coronary heart disease
In explaining the benefits of LDL lowering, the nurse explains that for each 1% decrease in LDL there is a 1% decrease in risk for heart disease, so if the client can decrease LDL levels from 160 mg/dl to 120 mg/dl CVD risk will decrease by: 1. 25%. 2. 30%. 3. 10%. 4. 15%.