A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, "I wish I were dead! I'm just a burden on everybody." Based on this information, which nursing diagnosis is most appropriate?
a. Complicated grieving related to expectation of death
b. Ineffective coping related to unknown outcome of illness
c. Deficient knowledge related to lack of education about COPD
d. Chronic low self-esteem related to increased physical dependence
ANS: D
The patient's statement about not being able to do anything for himself or herself supports this diagnosis. Although deficient knowledge, complicated grieving, and ineffective coping may also be appropriate diagnoses for patients with COPD, the data for this patient do not support these diagnoses.
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