John is a 26-year-old patient who is receiving inpatient care for the treatment of schizophrenia. John believes himself to be a police informant who is under threat from organized crime members, and he rarely sleeps, paces frequently,
and has tremulous hands and pressured speech. What actual nursing diagnosis should the nurse identify when planning John's care?
A) Delusions
B) Schizophrenia
C) Persecution
D) Anxiety
Ans: D
Anxiety is a NANDA-approved nursing diagnosis and one that is strongly supported by John's behavior and condition. Delusions, schizophrenia, and persecution are not nursing diagnoses.
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