A client's wife has been informed by the physician that her spouse has a permanent C2-C3 spinal injury, which has resulted in permanent quadriplegia. The wife states that she does not want the physician or nursing staff to tell the client about his injury. The client is awake, alert, and oriented when he asks his nurse to tell him what has happened. The nurse has conflicting emotions about how to handle the situation and is experiencing:

Correct Answer: B

Rationale: The nurse's conflict between truth-telling and the wife's request is moral distress (B), feeling unable to act ethically. Autonomy (A) is patient rights. Doubt (C) is uncertainty. Courage (D) is acting despite fear. B is correct. Rationale: Moral distress arises from ethical dilemmas, common in nursing when values clash, per ethics frameworks, requiring resolution.

Correct Answer: A

Rationale: A wellness nursing diagnosis best describes a clinical judgment of transitioning to a higher wellness level, focusing on enhancing health beyond mere absence of disease. Unlike pathology-based diagnoses, it identifies potential for growth like improving nutrition in a healthy client reflecting nursing's preventive role. Judging no pathology or more wellness than illness is narrower, missing the forward-looking aspect, while family strengths support interventions but aren't the diagnosis. This perspective encourages proactive care, aligning with wellness models to elevate client health.

Correct Answer: C

Rationale: The early phase of scar tissue formation is granulation tissue, rich in new blood vessels and collagen, aiding wound healing. Keloids are excessive scars, cicatrix is the final scar, and fibrous tissue is later-stage. Recognizing granulation informs nursing wound care, ensuring proper healing progression.

Correct Answer: D

Rationale: The other pupil constricts consensually when light hits one, a normal reflex. No change, dilation, or mixed response indicates abnormality. Nurses test this for brain function.

Correct Answer: A

Rationale: A 70% hematocrit, abnormally high, increases blood viscosity, elevating blood pressure, not lowering pulse or raising temperature. Nurses monitor this for circulatory strain.