A dying client is crying. She states, “Why me, Lord?” and “I can’t pray.” What would be the most appropriate nursing diagnosis based on this data?

Low Self Esteem.

Anticipatory Grieving.

Ineffective Coping.

Psycho-spiritual Distress.

Answer and Explanation

The Correct Answer is D

Choice A reason: Low Self Esteem involves negative self-perception, not spiritual questioning like “Why me, Lord?” which indicates psycho-spiritual distress. Assuming low self-esteem risks missing spiritual needs, potentially neglecting emotional support, critical to avoid in ensuring holistic care for dying clients expressing existential concerns.

Choice B reason: Anticipatory Grieving involves loss preparation, not spiritual crisis like inability to pray, which fits psycho-spiritual distress. Assuming grieving is correct risks overlooking spiritual turmoil, potentially delaying targeted interventions, critical to prevent in supporting dying clients’ emotional and spiritual needs in end-of-life care.

Choice C reason: Ineffective Coping involves maladaptive responses, not specific spiritual distress like questioning faith, which indicates psycho-spiritual distress. Assuming coping is the issue risks missing spiritual needs, potentially limiting holistic care, critical to avoid in addressing existential concerns in dying clients during end-of-life support.

Choice D reason: Psycho-spiritual Distress is appropriate, as the client’s crying, questioning “Why me, Lord?” and inability to pray reflect spiritual crisis. This diagnosis guides spiritual support, critical for emotional peace, ensuring holistic end-of-life care, and addressing existential concerns in dying clients facing terminal illness.

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Correct Answer is B

Explanation

Choice A reason: Cranial nerves control specific sensory and motor functions, not overall arousal, unlike the reticular activating system, which regulates alertness. Assuming cranial nerves are responsible risks misassessing neurological status, potentially delaying interventions, critical to avoid in evaluating stroke clients’ arousal states in clinical settings.

Choice B reason: The reticular activating system regulates arousal and alertness, critical for assessing stroke clients’ consciousness 3 days post-event. This guides neurological evaluation, ensuring accurate monitoring, supporting recovery, and identifying complications, essential in managing stroke clients’ neurological status in acute care settings effectively.

Choice C reason: The renin-angiotensin-aldosterone system regulates blood pressure, not arousal, unlike the reticular activating system for alertness. Assuming this system is responsible risks misinterpreting neurological status, potentially neglecting arousal assessment, critical to prevent in evaluating stroke clients’ consciousness in clinical care.

Choice D reason: Adrenal glands regulate stress hormones, not primary arousal, unlike the reticular activating system, which controls alertness. Assuming adrenal involvement risks incorrect neurological assessment, potentially overlooking arousal issues, critical to avoid in ensuring accurate evaluation of stroke clients’ consciousness in acute care.

A. The client expresses remorse at how his failure to make lifestyle changes has adversely affected his health. B. The client is now able to explain how his choices have contributed to his renal failure. C. The client expresses pride that he now has the knowledge and skills to take control of his diabetes management. D. The client states he will now begin to check his blood glucose before each meal and at bedtime.

Correct Answer is C

Explanation

Choice A reason: Expressing remorse reflects regret, not prizing, which involves valuing new behaviors, like pride in diabetes management skills. Assuming remorse is prizing risks missing positive value integration, potentially hindering motivation, critical to avoid in supporting clients reassessing health values post-diabetic complications.

Choice B reason: Explaining choices shows understanding, not prizing, which involves cherishing new values, like pride in management skills. Assuming explanation is prizing risks overlooking emotional commitment, potentially limiting behavioral change, critical to prevent in supporting value reassessment in clients with diabetic nephropathy.

Choice C reason: Expressing pride in knowledge and skills demonstrates prizing, cherishing new values in diabetes management, critical for sustained change. This reflects internalization, essential for motivating lifestyle adjustments, preventing further complications, and supporting recovery in clients with renal failure secondary to diabetic nephropathy.

Choice D reason: Stating intent to monitor glucose is action-oriented, not prizing, which involves valuing skills, like expressing pride. Assuming intent is prizing risks missing emotional valuation, potentially reducing commitment, critical to avoid in supporting value-driven change in clients with diabetic complications.

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A dying client is crying. She states, “Why me, Lord?” and “I can’t pray.” What would be the most appropriate nursing diagnosis based on this data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who suffered a stroke 3 days ago and is assessing the client’s state of arousal. The nurse knows that the part of the body responsible for a person being alert or aroused is

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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