A 63-year-old female has been admitted to the hospital for cholecystitis. She is accompanied by her sister, who provides all the assessment data while the client sits and stares somewhat vacant-ly
You determine that the client is single, lives alone, and lost her job as a secretary last year when she was unable to learn a new computer system. The sister states she has recently had to manage the client's shopping, meal preparation, and finances. Which of the following are appropriate nursing diagnoses?
1. Pain, self-care deficits, situational low self-esteem
2. Anxiety, self-care deficits, disturbed thought processes
3. Impaired home maintenance, disturbed thought process, impaired verbal commu-nication
4. Disturbed body image, anxiety, pain
ANS: 3
The scenario documents client inability to manage ADLs, inability to learn a new computer sys-tem, and reliance on the sister to communicate for her. Data do not support the diagnoses listed in the other options.
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