In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and daughter in an automobile accident. The patient has no other family, only a few acquaintances in the community
The nurse's priority is to gather additional assessment data to determine whether which nursing diagnosis applies to this patient? a. Spiritual distress related to being angry with God for taking her family
b. Risk for suicide related to recent deaths of significant others
c. Anxiety related to sudden and abrupt lifestyle changes
d. Social isolation related to loss of existing family
B
The patient appears to be experiencing normal grief related to the loss of her family, but because of age and social isolation, the risk for suicide should be determined and has high priority. No defining characteristics exist for the diagnoses of anxiety or spiritual distress. The patient's social isolation is important, but the risk for suicide has higher priority.
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