In a rush of words, a client tells the community mental health nurse "Everything's a mess! I can't
concentrate. My disability check didn't come. My roommate moved out and the rent is too much for
me to pay on my own.
To top it all off, my therapist is moving out of state. I don't know where to
turn and I feel as though I'm coming apart at the seams.". A nursing diagnosis the nurse should
consider for this client is
a. decisional conflict related to challenges to personal values.
b. spiritual distress related to ethical implications of treatment regimen.
c. anxiety related to changes perceived as threatening to psychological equilibrium.
d. deficient knowledge related to need to solve multiple problems affecting security
needs.
ANS: C
Subjective and objective data obtained by the nurse suggest the client is experiencing anxiety caused
by multiple threats to security needs. Option A: Data are not present to suggest decisional conflict,
ethical conflicts around treatment causing spiritual distress, or deficient knowledge.
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