An appropriate nursing diagnosis for a bedridden hospitalized patient who tells the nurse that he has not missed a Methodist church service in 50 years would be
of guilt
B) Spiritual need as evidenced by verbalizations and distress at missing Methodist church services
C) Dysfunctional grieving related to inability to attend church services as a result of his medical condition
D) Potential for enhanced spiritual well-being related to distress at missing Methodist church services
Ans: A
You might also like to view...
A recently divorced man with severe depression exhibits poor sleep and impaired concentration, leading him to function poorly at work. Inattention to hygiene and irritability with others aggravate problems at work
Co-workers do not recognize that he is depressed and instead assume his behavioral changes are due to drug abuse. One day he is fired. Work had been his one remaining source of self-worth. The man presents at the emergency room seeking medication to help him sleep. Which of the following responses would be most important for the triage nurse to take at this time? a. "Have you considered seeking treatment for the depression itself?" b. "Tell me what you have already been trying to help improve your sleep.". c. "We usually don't prescribe sleep medications in the emergency room.". d. "You said you are depressed; have you thought about harming yourself?"
A 76-year-old postsurgical diabetic patient has reported feeling dizzy and clammy
The daily serum glucose level shows the patient's levels to be within normal limits. The geriatric nurse shows an understanding of established health norms for the older adult when stating: a. "This patient's normal may not be within the typical lab norms." b. "I'll ask the lab to rerun the test so we can double-check the results." c. "There must be another reason for the symptoms." d. "I'll compare the patient's baseline lab work with today's results."
A resident is confused. It is time for the person's shower. What should you do?
a. Explain what you are going to do and why. b. Ask the person to undress. c. Ask if the person wants a tub bath or shower. d. Let the confusion pass before you assist with the person's shower.
An 11-year-old client is admitted to the healthcare facility with a severe head injury
following a traffic accident. The physician orders the nurse to start the client on STAT mannitol therapy to prevent cerebral edema. What measures should the nurse employ when administering medications with STAT orders? A) Assess the patient's age and what symptoms have prompted the STAT order B) Chart the STAT medications before they are given and recheck the vital signs C) Make sure the order is on the physician's orders and the medication administration record D) Enter client's initials next to the order after giving STAT drugs and have the administration witnessed by two nurses