A client, age 30, hospitalized with the diagnosis of AIDS, placed ...

[cherise1989]

A client, age 30, hospitalized with the diagnosis of AIDS, placed a No Visitors sign on his door and refused phone calls. He stated to the nurse, I know you don't want to be around me.
 
  Which of these nursing diagnoses is applicable to this situation?
  1. Fear of dying related to medical diagnosis
  2. Social isolation related to fear of rejection
  3. Deficient knowledge related to cognitive limitations
  4. Anger related to having to face death at such a young age

Question 2

A client, age 27, who received a diagnosis of HIV infection a week ago, reports to the clinic nurse that he has felt tense, jittery, and distracted all week.
 
  He has had difficulty sleeping, and he has eaten little because he has experienced a lump in his throat all week. The nurse notes that his heart and respiratory rate are increased. The nurse can logically attribute the client's symptoms to:
  1. Effects of HIV infection
  2. Suicidal ideation
  3. Acute anxiety
  4. Guilt

[jointhecircus]

Answer to Question 1

ANS: 2
The client has placed barriers between self and others. His statement referring to the nurse not wanting to be around him suggests use of projection as a means of defending against anxiety. 1. Data given in the scenario do not support the diagnosis of fear. 3. Neither lack of knowledge nor cognitive limitation is suggested in the scenario. 4. Anger is not a NANDA-accepted diagnosis.

Answer to Question 2

ANS: 3
The symptoms described are consistent with anxiety. It is common for a person learning of an HIV-positive diagnosis to experience symptoms of anxiety, even panic. 1. The symptoms listed are not directly attributable to the HIV infection. 2. No data exist to suggest suicidal ideation. 4. No data are given to suggest guilt.

[cherise1989]

Thank you

[jointhecircus]

No problemo