Which nursing diagnosis is most appropriate for a patient whose friends and family have grown distant after the death of the patient's spouse?
Readiness for enhanced spiritual well-being related to expressed desire for prayer
Impaired verbal communication related to alteration in sensory perception
Risk for loneliness related to insufficient interactions with friends and family
Health-seeking behavior related to the desire for increased control of personal health
The Correct Answer is C
A. Readiness for enhanced spiritual well-being related to expressed desire for prayer: While this may be a valid diagnosis in some cases, the stem focuses on social isolation, not spiritual health.
B. Impaired verbal communication related to alteration in sensory perception: There is no mention of sensory deficits or communication issues.
C. Risk for loneliness related to insufficient interactions with friends and family: The core issue is social withdrawal after the loss of a spouse, leading to potential loneliness.
D. Health-seeking behavior related to the desire for increased control of personal health: The scenario doesn’t mention any actions or goals related to health improvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Depression
Characterized by sadness, withdrawal, and despair-not present in this scenario.
B. Denial
Usually occurs earlier, when the patient refuses to accept the diagnosis.
C. Acceptance
Acceptance involves a peaceful readiness to die. Hoping to "live longer" suggests she hasn’t reached this stage.
D. Bargaining
Bargaining includes attempts to postpone death, often by making deals with a higher power (e.g., “let me live until my grandchild is born”).
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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