The nurse walks into the room of a client who has had surgery for testicular cancer. The client says that he’ll be undesirable to his wife, and he becomes tearful. He expresses that he’s spoiled a happy, satisfying sex life with his wife, and says that he thinks it might be best if he would just die. Based on these signs and symptoms, which nursing diagnosis would be most appropriate for planning purposes ？（）
A．Situational low self-esteem.
B．Unilateral neglect.
C．Social isolation.
D．Risk for loneliness.
参考答案：A
解析：
The signs and symptoms stated in this case are typical of a client with situational low self-esteem. The diagnosis of unilateral neglect occurs in neurologic illness or trauma when the client shows a lack of awareness of a body part. This client is at risk for social isolation and loneliness, but there’s no indication in the case study that these diagnoses are present.