John is a 26-year-old patient who is receiving inpatient care for ...

[JGIBBSON]

John is a 26-year-old patient who is receiving inpatient care for the treatment of schizophrenia. John believes himself to be a police informant who is under threat from organized crime members, and he rarely sleeps, paces frequently,
 
  and has tremulous hands and pressured speech. What actual nursing diagnosis should the nurse identify when planning John's care?
 
  A) Delusions
  B) Schizophrenia
  C) Persecution
  D) Anxiety

Question 2

A client's frequent night awakenings, early morning rising, and daytime drowsiness have prompted the nurse to add a diagnosis of disturbed sleep pattern to the client's plan of care. What information should immediately follow this diagnosis?
 
  A) Previous attempts at alleviating the diagnosis
  B) The DSM-IV-TR diagnosis that corresponds to the nursing diagnosis
  C) The evidence supporting the diagnosis
  D) The client's preferred intervention for the diagnosis

[hollysheppard095]

Answer to Question 1

Ans: D
Anxiety is a NANDA-approved nursing diagnosis and one that is strongly supported by John's behavior and condition. Delusions, schizophrenia, and persecution are not nursing diagnoses.

Answer to Question 2

Ans: C
A nursing diagnosis should be followed by the cues and judgments that underlie the diagnosis. This is normally accomplished by following the diagnosis with statements such as evidenced by, related to, and demonstrated by.

[JGIBBSON]

Correct answers!

[hollysheppard095]

Great! Please up vote