The nurse is caring for a patient who is anticipating the loss of a limb following an accident. The patient states, "I feel like I have no control over this." What nursing diagnosis is most appropriate for this patient?

Question

Quizplus · Accepted Answer

1. Powerlessness is the most appropriate nursing diagnosis for this patient. Powerlessness is defined as the belief that one has no control over circumstances or outcomes. Hopelessness is a state in which an individual feels restrained (without choices or alternatives) and immobilized. While the patient expresses distress over the lack of choice for amputation, the patient states no control over the circumstance, indicating powerlessness, not hopelessness. Spiritual distress is best described by the disruption of an individual's capacity to assimilate or find meaning and purpose in his or her life by connecting with self, others, the arts, nature, and/ or a higher power. Ineffective coping is an impairment of problem solving skills, which the patient is not displaying.

The Nurse Is Caring for a Patient Who Is Anticipating