A client with AIDS persistently uses denial with respect to the ...

[jenna1]

A client with AIDS persistently uses denial with respect to the seriousness of his condition. The nurse will need to be alert for the presence of defining characteristics for the nursing diagnosis of:
 
  1. Anxiety
  2. Hopelessness
  3. Noncompliance
  4. Powerlessness

Question 2

A client diagnosed 3 months ago with HIV infection tells the nurse, I feel so sad every time I think of my diagnosis.
 
  I cry a lot, and I don't go out as much as I did before. It just doesn't seem right to laugh. I don't have a good appetite, but I force myself to eat something at every meal, so I haven't lost weight. From this description, the nurse would determine that the client's symptoms most closely correspond to those of:
  1. Bipolar disorder
  2. Major depression
  3. Adjustment disorder
  4. Dysfunctional grieving

[Kingjoffery]

Answer to Question 1

ANS: 3
Denial of his illness may lead to noncompliance with the medical regimen. The nurse needs to intervene quickly if noncompliance occurs, since the client's condition will deteriorate without the benefit of HAART. Options 1, 2, and 4 are not likely to be seen as long as the client uses de-nial.

Answer to Question 2

ANS: 3
The client's symptoms most closely resemble those of adjustment disorder with depressive fea-tures. The symptoms are of low mood but are not as severe as symptoms seen with major depres-sion. The symptoms do not resemble bipolar disorder and are not entirely consistent with dys-functional grieving.