A male patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities. The nurse observes that when the patient's wife is visiting, she feeds and dresses him
Which nursing diagnosis is most appropriate for the patient?
a. Interrupted family processes related to effects of illness of a family member
b. Situational low self-esteem related to increasing dependence on spouse for care
c. Disabled family coping related to inadequate understanding by patient's spouse
d. Impaired nutrition: less than body requirements related to hemiplegia and aphasia
ANS: C
The information supports the diagnosis of disabled family coping because the wife does not understand the rehabilitation program. There are no data supporting low self-esteem, and the patient is attempting independence. The data do not support an interruption in family processes because this may be a typical pattern for the couple. There is no indication that the patient has impaired nutrition.
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