A teenaged patient hospitalized with the diagnosis of HIV places ...

[jilianpiloj]

A teenaged patient hospitalized with the diagnosis of HIV places a No Visitors sign on the door, refuses phone calls, and states to the nurse, I know you don't want to be around me.
 
  Which of these nursing diagnoses is applicable to this situation?
  a. Fear of dying related to medical diagnosis
  b. Social isolation related to fear of rejection
  c. Deficient knowledge related to cognitive limitations
  d. Anger related to having to face death at such a young age

Question 2

The nurse determines that the most effective point of intervention for bereavement is:
 
  a. Promotion of mental and spiritual health across the life span
  b. At the time a newly discovered loss is impending
  c. Immediately after the loss has occurred
  d. When requested by the patient

[Zebsrer]

Answer to Question 1

ANS: B
The patient 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. Data given in the scenario do not support the diagnosis of fear. Neither lack of knowledge nor cognitive limitation is suggested in the scenario. Anger is not a NAN-DA-accepted diagnosis.

Answer to Question 2

ANS: A
Effective health promotion before stress and loss regardless of age is most helpful. The re-maining options provide help around the time of loss, which is helpful but not as effective as long-term help throughout a person's life.

[jilianpiloj]

Thanks for the timely response, appreciate it

[ricroger]

Gracias!