The psychiatric-mental health nurse is performing the admission assessment of a client who is being admitted for depression and anxiety. The client reports a long history of excessive alcohol use and the recent loss of her job. When the nurse asks whether she has a religious preference or affiliation, the client states, "I used to believe in God, but I don't anymore. I don't understand how God can allow bad things to keep happening to me." Which nursing diagnoses will the nurse include in the client's care plan?

Question

Quizplus · Accepted Answer

1.This is incorrect. Risk for lack of faith is not a nursing diagnosis.
2.This is correct. NANDA International defines risk for spiritual distress as "vulnerable to an impaired ability to experience and integrate meaning and purpose in life through connectedness within self, literature, nature, and/or a power greater than oneself which may compromise health." Risk factors include substance abuse, depression, anxiety, and life changes.
3.This is incorrect. Risk factors for impaired religiosity are only illness/hospitalization and pain. Substance abuse and alcoholism are not risk factors.
4.This is incorrect. Risk for impaired spirituality is not a nursing diagnosis.

The Psychiatric-Mental Health Nurse Is Performing the Admission Assessment of a Client