The nurse is caring for a client who has a recent diagnosis of pancreatic cancer with metastasis. The client states, "This can't be happening to me! Why, God, why?" Which of the following nursing diagnosis would be MOST appropriate?
a. Anxiety elated to ineffective coping
b. Decisional conflict related to powerlessness
c. Spiritual distress related to concerns for her role in life
d. Ineffective coping related anxiety and anger
C
For this client, Spiritual distress related to concerns for her role in life would be the most appropriate diagnosis based on the data, as the client has concerns regarding the diagnosis directed toward her faith and belief system.
You might also like to view...
When rounded to the nearest tenth, 6.147 is expressed as:
a. 6.2. b. 6.15. c. 6.14. d. 6.1.
A patient is suspected to have osteomalacia based on his clinical manifestations and lab/diagnostic workup (low calcium levels, transverse lines on x-ray). The nurse would expect the patient to have which of the following clinical manifestations?
Select all that apply. A) Nerve palsy in upper extremities. B) Calcification of aortic valve. C) Bone pain. D) Muscle weakness. E) Cold limb with absent pulses.
Mrs. Jones has been taking chlorpromazine to combat the effects of her auditory hallucinations. Her response to you, which indicates that the medication is effective, is:
A) "There is more than one voice now!" B) "They are whispering instead of talking loudly now!" C) "I don't hear the voices now!" D) "I only hear them sometimes now."
A 45-year-old woman asks the nurse why she has her height measured at each annual checkup. What is the most appropriate response?
a. "Loss of height can be an early indication of bone loss due to osteoporosis." b. "Measuring your height annually allows us to most accurately calculate your body mass." c. "Insurance companies require the measurement of height for reimbursement." d. "Loss of height can be an early indication of protein deficiency."