After the nurse has explained the purpose of and schedule for chemotherapy to a 23-year-old patient who recently received a diagnosis of acute leukemia, the patient asks the nurse to repeat the information. Based on this assessment, which nursing diagnosis is most likely for the patient?
A. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
B. Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment
C. Risk for ineffective adherence to treatment related to denial of need for chemotherapy
D. Acute confusion related to infiltration of leukemia cells into the central nervous system
Correct Answer: A. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
Option A: The patient who has a new cancer diagnosis is likely to have high anxiety, which may impact learning and require that the nurse repeat and reinforce information.
Options B and C: The patient asks for the information to be repeated, indicating that lack of interest in learning and denial are not etiologic factors.
Option D: The patient’s history of a recent diagnosis suggests that infiltration of the leukemia is not a likely cause of the confusion.
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