Author Question: The nurse is discussing future treatments with a client who has a terminal illness. The nurse ... (Read 55 times)

storky111 · **on:** Jul 22, 2018

The nurse is discussing future treatments with a client who has a terminal illness.

The nurse notes that the client has not been eating and responds to the nurse's information by stating, What does it matter? Which of the following is the most appropriate nursing diagnosis for this client? a. Social isolation
b. Spiritual distress
c. Denial
d. Hopelessness

Question 2

Which of the following clients presents the highest risk for health-related concerns?

a. Ms. Madison, a 25-year-old woman living in a woman's shelter
b. Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes
c. Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic
d. Ms. Tray, a 31-year-old woman addicted to cocaine

alexanderhamilton · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
A defining characteristic for the nursing diagnosis of hopelessness may include the client stating, What does it matter? when offered choices or information concerning him or her. The client's behaviour of not eating also is an indicator of hopelessness.
The client's behaviour and verbalization is not an example of social isolation. The client is not avoiding others or being restricted from seeing others.
Spiritual distress is not the most appropriate nursing diagnosis for this client. The focus should be on the client's lack of hope.
The client's behaviour and verbalization does not indicate denial.

Answer to Question 2

D

Feedback
A Ms. Madison has sought protection in a woman's shelter and should not present the greatest risk for health-related concerns.
B Mr. Saliman is taking medication for his chronic disease, engaging in measures to maintain his physical health rather than increasing his risk of health-related concerns.
C Mr. Joseph is receiving treatment at an outpatient mental health clinic, engaging in measures to maintain his mental health rather than increasing his risk of health-related concerns.
D Ms. Tray, because she is a substance user, presents the greatest risk for health-related concerns. Clients who abuse substances also frequently have additional health and socioeconomic problems.