The patient verbalizes an overwhelming lack of energy.He says,"I still feel exhausted even after I sleep.I feel guilty when I can't keep up with my usual daily activities or sleep during the day.I've been a little depressed lately,too." The patient seems to have difficulty concentrating,but has no apparent physical problems.Which of the following diagnoses best describes his health status?

A) Fatigue related to depression
B) Fatigue related to difficulty concentrating
C) Guilt related to lack of energy
D) Chronic confusion related to lack of energy

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Kristiana Viray · Accepted Answer

Final Answer : A, Explanation :   The diagnosis that best describes the overall health status is Fatigue.The only cue that might cause Fatigue is depression.You cannot use depression as the problem because it is a medical diagnosis,and it is not a NANDA-I label.The other cues (difficulty concentrating,lack of energy,and guilt)are symptoms of Fatigue,not etiologies.These diagnoses would lead the nurse to focus on dealing with guilt and confusion,so the source of the Fatigue would not be addressed.

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