A patient tells the nurse, "I feel that God has abandoned me. I am so angry that I can't even pray." The patient refuses to see his minister when he calls. Which is the most appropriate nursing diagnosis for this patient?
a. Spiritual Distress
b. Risk for Spiritual Distress
c. Impaired Religiosity
d. Moral Distress
A
This patient exhibits three defining characteristics for Spiritual Distress (feeling abandoned by God, inability to pray, refusing to see a religious leader). Therefore, the actual problem of Spiritual Distress exists, not the potential problem, Risk for Spiritual Distress. Impaired Religiosity is difficulty in exercising or impaired ability to exercise reliance on beliefs or to participate in rituals of a faith tradition (e.g., going to church). This patient is not unable to see the minister, but chooses not to. Moral Distress occurs when a person makes a moral decision but is prevented from carrying out the chosen action.
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