A client has a mass in the left upper lobe of his lung. He is scheduled to undergo a biopsy
When the
nurse explains the procedure to him, he seems to have difficulty grasping what she is saying and
asks questions such as "What do you mean I'm going to have surgery? What are they going to do?"
His voice is tremulous. His respirations are noticeably rapid at 28 breaths/min, and his pulse is 110
beats/min. The nursing diagnosis formulated for the client is anxiety related to impending biopsy, as
evidenced by repeated questions and by voice tremors and elevated pulse and respirations. Outcomes
the nurse should consider include (more than one answer may be correct)
A. compliance behavior.
B. anxiety self-control.
C. information processing.
D. aggression self-control.
E. social interaction skills.
F. adaptation to physical disability.
ANS:
B, C
Rationale: When the client is able to control anxiety, he will be able to demonstrate comprehension
and use of the information he is given. None of the other outcomes is directly related to the
behaviors that support the nursing diagnosis.
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