A nurse has completed an assessment of a client who is ...

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A nurse has completed an assessment of a client who is experiencing significant stress. The assessment revealed intense anger and acting-out behaviors, along with statements of negative emotions. Which nursing diagnosis would be most appropriate?
 
  A) Disturbed Thought Processes
  B) Low Self-esteem
  C) Hopelessness
  D) Ineffective Coping

Question 2

After educating a group of students on appraisal and the stress response, the instructor determines that additional education is needed when the students identify which of the following as part of the primary appraisal?
 
  A) Relevance of the goal
  B) Consistency of the goal with values
  C) Personal commitment
  D) Outcome explanation

[jaykayy05]

Answer to Question 1

Ans: D
The assessment information supports the nursing diagnosis of Ineffective Coping. There is no information related to problems with thought processes. Low self-esteem may be a problem, but there is no information to support this diagnosis. The client also may be experiencing hopelessness, but the situation does not support this.

Answer to Question 2

Ans: D
In a secondary appraisal, the person explains the outcome of events. During the primary appraisal of a goal, the person determines whether (1) the goal is relevant, (2) the goal is consistent with his or her values and beliefs, and (3) a personal commitment is present.