While hospitalized, a client learns that a dear friend has died ...

[rosent76]

While hospitalized, a client learns that a dear friend has died as a result of an accident. The client is crying and asking God, Why? The nurse realizes the client is demonstrating which type of spiritual distress?
 
  A) Physiological
  B) Psychological
  C) Treatment-related
  D) Situational

Question 2

A client worries every day about personal health and states, I may not have enough medication if the weather takes a turn for the worse.
 
  Based on this data, which diagnosis does the nurse anticipate for this client?
  A) Generalized anxiety disorder
  B) Phobia
  C) Obsessive-compulsive disorder
  D) Panic disorder

[tofugiraffe]

Answer to Question 1

Answer: D

Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.

Answer to Question 2

Answer: A

Generalized anxiety disorder is excessive worry about everyday problems, with the anxiety being more intense than the situation warrants. The client is demonstrating signs of generalized anxiety disorder. A phobia is an intense, persistent, irrational fear of a simple thing or social situation that compels the individual to avoid the stressor that elicits the fear. Panic disorder is a sudden attack of terror, accompanied by a pounding heart, sweatiness, weakness, faintness, or dizziness. Obsessive-compulsive disorder is characterized by obsessive thoughts and compulsive repetitive behaviors formed in response to the obsessive thoughts to lower the level of anxiety experienced.

[rosent76]

Thank you

[tofugiraffe]

Happy to help you