A Patient Hospitalized After an MI Is Restlessly Moving About

A patient hospitalized after an MI is restlessly moving about in bed. Her pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, she tells the nurse, "I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?" The nurse should analyze this behaviour as suggesting which of the following nursing diagnoses?

A) Spiritual distress
B) Ineffective breathing pattern
C) Nonadherence
D) Anxiety