A patient in whom cancer has just been diagnosed tells the nurse, "Just get out of here and leave me alone! Let me suffer alone. God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is
a. risk for loneliness.
b. powerlessness.
c. dysfunctional grieving.
d. spiritual distress.
ANS: D
A
The risk for loneliness is when a person may experience a vague sense of unpleasantness.
B
Powerlessness is a perceived lack of control in the current situation. This patient may feel powerless, but the reference to God's punishment makes spiritual distress a more likely diagnosis.
C
Dysfunctional grieving is the unsuccessful use of intellectual and emotional responses to deal with a loss.
D
Spiritual distress is the inability to experience and integrate meaning and purpose in life through connectedness with self, others, or a power greater than oneself.
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