A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Choice A reason: Reorganization, per Bowlby’s Attachment Theory, involves adapting to loss and forming new routines, occurring later in grief. The family’s acute crying and despair reflect disorganization. Assuming reorganization misidentifies the grief stage, risking inappropriate support and neglecting immediate emotional needs critical for processing acute loss in the emergency setting.

Choice B reason: Disorganization and despair, the third phase of Attachment Theory, involves intense emotional distress like crying and screaming after loss, as seen here. The family’s reaction reflects grappling with the reality of death. Recognizing this guides empathetic support, ensuring emotional care aligns with their acute grief, critical for initial coping.

Choice C reason: Yearning and searching involve seeking the deceased or denying the loss, not overt despair like crying and screaming. The family’s reaction aligns with disorganization. Assuming yearning misguides support, potentially overlooking the need for immediate emotional presence, critical for addressing acute grief reactions in the emergency department setting.

Choice D reason: Numbing, the first grief phase, involves shock and disbelief, not active despair like screaming. The family’s emotional outburst indicates disorganization. Assuming numbing risks misinterpreting their grief, delaying empathetic interventions like active listening, essential for supporting families experiencing acute loss and distress in the emergency context.

Choice A reason: The nurse promotes hope by helping the depressed patient identify activities to look forward to, fostering optimism and purpose. Hope, a spiritual concept, counteracts despair, enhancing mental health per psychological resilience models. This intervention supports emotional recovery, critical for patients with severe depression facing existential challenges.

Choice B reason: Time management is a practical skill, not a spiritual concept, and unrelated to identifying positive activities in depression. The nurse’s focus is hope, not organization. Assuming time management misaligns with the intervention, risking neglect of the patient’s spiritual need for meaning, critical for addressing depressive hopelessness and recovery.

Choice C reason: Reminiscence involves recalling past experiences, not future-oriented activities, as the nurse encourages. Hope targets forward-looking optimism, not reflection. Assuming reminiscence misguides the intervention, potentially missing the patient’s need for hope to combat depression, delaying emotional recovery and engagement in meaningful activities for mental health.

Choice D reason: Faith involves religious or spiritual beliefs, not specifically identifying future activities, as the nurse does to foster hope. While faith may support hope, the intervention targets optimism broadly. Assuming faith risks narrowing the focus, potentially overlooking non-religious patients’ need for hope, critical for depression management and emotional resilience.