A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain
The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned. What is an appropriate nursing diagnosis for this client?
1. Body Image Disturbance
2. Health-Seeking Behavior
3. Altered Family Processes
4. Spiritual Distress
Correct Answer: 4
Rationale: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades one's biological and psychosocial nature. The feelings the client expresses have little to do with his body image.
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Which information should the new graduate consider when analyzing this comment? You may select more than one answer. a. The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice. b. New research findings should be integrated continuously into a nurse's practice to provide the most effective care. c. Experience provides mental health nurses with the essential tools and skills needed for effective professional practice. d. Experienced psychiatric nurses have learned the best ways to care for mentally ill patients through trial and error. e. An intuitive sense of patients' needs guides effective psychiatric nurses.
Which of the following is a major factor in determining which people or groups are most likely to be helpful to a particular individual?
a. Anyone who has time to be available b. Environmental proximity c. Same employment responsibilities d. Similar religious faith
The nurse would explain to a client who smokes that the nicotine in cigarette smoke increases the prevalence of CHD by
a. causing proliferation of smooth muscle cells. b. decreasing the oxygen-carrying capacity of the blood. c. increasing fat deposits along the intima of blood vessels. d. increasing the heart rate and the risk of dysrhythmia.
A psychiatric–mental health nurse is preparing to lead a medication group. Which of the following would be most important for the nurse to assess? Select all that apply
A) Cognitive abilities B) Medication knowledge C) Reading skills D) Writing abilities E) Use of a specific medication