A patient with somatoform pain disorder reveals to the nurse that ...

[ss2343]

A patient with somatoform pain disorder reveals to the nurse that he has begun to question why God has made him an invalid who is unable to provide for his family.
 
  He states that he believes the burden placed on his spouse and his children may be even greater than the burden he must bear. He blames God for punishing his innocent family.. Which nursing diagnosis should be the priority diagnosis? a. Spiritual distress
  b. Self-care deficit
  c. Decisional conflict
  d. Ineffective role performance

Question 2

Adolescents who become chemically dependent progress through four stages. Place these stages in order of occurrence. (Separate letters by a comma and space as follows: A, B, C, D.)
 
  A. Burnout
  B. Active seeking
  C. Preoccupation
  D. Experimentation

[tmlewis4706]

Answer to Question 1

D
Although the patient's verbalization is consistent with spiritual distress as well, the priority diagnosis here is Ineffective role performance, because resolving that issue will in turn likely produce improvement in his spiritual distress. Data are not provided to support diagnoses of self-care deficit or decisional conflict.

Answer to Question 2

D, B, C, A
Experimentation involves using the drug for the first time with peers and enjoying the effects of the drug. Active seeking refers to looking forward to using the drug and wanting the feeling that one experiences when using the drug; relationships then begin to become affected, and the teen's only friends are the ones who also take the drugs. During the preoccupation stage, the adolescent believes that he or she has to use the drug to cope with life, and relationships fall apart. The last stage, burnout, is characterized by drug use as the primary focus of the teen's life, along with addiction and withdrawal symptoms when the drug is not used.