The nurse is caring for a patient who lost her husband 1 year ago. The patient and her husband had been married for 55 years. The patient no longer takes care of herself or cooks and rarely eats, stating she has no appetite
The nurse determines that the nursing diagnosis of Complicated grieving applies to the patient. Which is the priority goal for the patient at this time?
a.
The patient will shower every other day and eat at least two meals a day.
b.
The patient will identify personal strengths that will increase coping ability.
c.
The patient will discuss the meaning of her loss with a family member or close friend.
d.
The patient will be provided with phone numbers for local community resources.
ANS: A
The highest priority goal of this patient is self-care including showering and eating in order to protect her health and safety. The other goals are lower priority after the patient's necessary activities of daily living are addressed.
You might also like to view...
Which of the following is the best example of a nursing diagnosis statement?
a. Pain related to appendicitis b. Fractured left leg related to impaired mobility c. Impaired mobility related to fractured left leg d. Acute pain related to out of bed activities
The nurse is caring for an older adult client with a pulmonary infection. Which nursing action is a priority with this client?
a. Encouraging the client to increase fluid intake b. Assessing the client's level of conscious-ness c. Raising the head of the bed to at least 45 degrees d. Providing the client with humidified oxy-gen
The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?
1. Patient smoked cigarettes any time during the last year prior to hospitalization 2. Patient uses chewing tobacco 3. Patient smokes five cigars a week 4. Patient stopped smoking five years prior to hospitalization
Recent research by Beebe (2002) examined the perceptions and experiences of persons with schizophrenia who were recently discharged from a hospital stay. The MOST frequent problems faced by these persons included all but which of the following?
a. having difficulty managing their medications b. experiencing psychiatric symptoms c. choosing among several job offers d. having social problems and family conflicts