You are writing a care plan for a patient who has been diagnosed with angina pectoris. The patient describes herself as being "distressed" and "shocked" by her new diagnosis. What nursing diagnosis is most clearly suggested by the woman's statement?
A) Spiritual distress related to change in health status
B) Acute confusion related to prognosis for recovery
C) Anxiety related to cardiac symptoms
D) Deficient knowledge related to treatment of angina pectoris
Ans: C
Feedback:
Although further assessment is warranted, it is not unlikely that the patient is experiencing anxiety. In patients with CAD, this often relates to the threat of sudden death. There is no evidence of confusion (i.e., delirium or dementia) and there may or may not be a spiritual element to her concerns. Similarly, it is not clear that a lack of knowledge or information is the root of her anxiety.
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