The patient's spouse is overwhelmed and exhausted trying to provide the ongoing care required by the patient. Which nursing diagnosis is most appropriate for the patient's spouse?
Caregiver role strain related to the amount and complexity of the patient's health needs
Activity intolerance related to fatigue and generalized weakness
Readiness for enhanced comfort related to change in personal health status
Risk for compromised human dignity related to loss of control of bodily functions
The Correct Answer is A
A. Caregiver role strain related to the amount and complexity of the patient's health needs
This diagnosis reflects the emotional, physical, and psychological burden experienced by caregivers.
B. Activity intolerance related to fatigue and generalized weakness
Not appropriate for the caregiver; applies more to a client with physical limitations.
C. Readiness for enhanced comfort related to change in personal health status
Indicates a client who is comfortable but seeking higher well-being—not applicable here.
D. Risk for compromised human dignity related to loss of control of bodily functions
More appropriate for a patient, not a caregiver.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rational: This is not a classification of stressors.
B. Maturational: Maturational stressors relate to developmental stages, such as adolescence or aging.
C. Developmental: These involve life transitions like starting school or retiring.
D. Sociocultural: Lack of health insurance and unequal treatment are sociocultural stressors, as they relate to societal and cultural factors affecting health.
Correct Answer is D
Explanation
A. Blood glucose 45 mg/dL
Glucose would typically rise due to stress hormones (epinephrine, cortisol), not drop.
B. Hyperactive bowel sounds
Sympathetic (fight-or-flight) response suppresses GI activity, not stimulates it.
C. HR 55 bpm
A slow heart rate is not expected. The HR should increase.
D. BP 180/94
The sympathetic response leads to increased BP, HR, and blood glucose.
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