A nurse has completed an assessment of a client who is experiencing significant stress. The assessment revealed intense anger and acting-out behaviors, along with statements of negative emotions. Which nursing diagnosis would be most appropriate?
A) Disturbed Thought Processes
B) Low Self-esteem
C) Hopelessness
D) Ineffective Coping
Ans: D
The assessment information supports the nursing diagnosis of Ineffective Coping. There is no information related to problems with thought processes. Low self-esteem may be a problem, but there is no information to support this diagnosis. The client also may be experiencing hopelessness, but the situation does not support this.
You might also like to view...
A newly admitted 80-year-old patient with hemiplegia is fully alert. Which is the most appropri-ate greeting by the nurse?
a. "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today." b. "I am your nurse. Today is bath day. You will get yours right after breakfast." c. "Hello there, sweetie. We need to get to work on getting your breakfast so we can get your shower." d. "My name is Ann. You are my patient to-day."
A patient with metastatic cancer has developed trigeminal neuralgia and is taking carbamazepine (Tegretol) for pain relief. What applies to this medication?
A) Take medication on an empty stomach. B) The patient should be monitored for bone marrow depression. C) Side effects include renal dysfunction. D) Medication should be taken in maximum dosage form to be effective.
A client with type 1 diabetes who has the flu calls the nurse asking what to do. The best advice by the nurse would be:
A) "Measure your blood sugar and urinary ketones every two to four hours while you are sick." B) "You should not take any insulin until you are well again." C) "You should increase your insulin dose for five days, then return to the prescribed dose." D) "You should be hospitalized whenever you have the flu in case it affects your diabetes."
The nurse admitting a patient who has a right frontal lobe tumor would expect the patient may have
a. expressive aphasia. b. impaired judgment. c. right-sided weakness. d. difficulty swallowing.