A client with amyotrophic lateral sclerosis is becoming ...

[lak]

A client with amyotrophic lateral sclerosis is becoming increasingly debilitated. Recently, he told
  the nurse It bothers me that I cannot get to church anymore. Since I have not been able to get to
  services, I feel out of touch with God.
 
  I pray but I wonder if my prayers are heard.. The nurse should
  consider the nursing diagnosis of
  a. powerlessness.
  b. death anxiety.
  c. spiritual distress.
  d. disturbed thought processes.

Question 2

A client's fianc died in an auto accident several days ago. She finds herself crying and experiencing
  feelings of guilt and anger. The nurse can assess this behavior as characteristic of the stage of acute
  grief called
 
  a. reorganization.
  b. denial.
  c. developing awareness.
  d. preoccupation with the lost object.

[Madisongo23]

Answer to Question 1

C
The client is verbalizing his concern about his relationship with God and his inability to participate
in religious services. Both are defining characteristics for the nursing diagnosis of spiritual distress.
Data are not present to suggest the other nursing diagnoses.

Answer to Question 2

C
As denial fades, awareness of the finality of loss develops and is accompanied by painful feelings of
loss, anger with others, and guilt for taking or not taking specific actions. Reorganization implies
movement toward healing. Denial is manifested by the inability to believe the reality of an event.
Preoccupation with the lost object would involve the client dwelling on thoughts of the deceased.

[lak]

Excellent

[ghepp]

TYSM