A teenaged patient hospitalized with the diagnosis of HIV places a "No Visitors" sign on the door, refuses phone calls, and states to the nurse, "I know you don't want to be around me."
Which of these nursing diagnoses is applicable to this situation?
a. Fear of dying related to medical diagnosis
b. Social isolation related to fear of rejection
c. Deficient knowledge related to cognitive limitations
d. Anger related to having to face death at such a young age
ANS: B
The patient has placed barriers between self and others. His statement referring to the nurse not wanting to be around him suggests use of projection as a means of defending against anxiety. Data given in the scenario do not support the diagnosis of fear. Neither lack of knowledge nor cognitive limitation is suggested in the scenario. Anger is not a NAN-DA-accepted diagnosis.
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