Question

A client has severe right-sided weakness and is unable to complete bathing and grooming independently. Based on this observation, the nurse identifies a nursing diagnosis of:

a) Tissue integrity impairment
b) Knowledge deficit of hygiene practices
c) Powerlessness
d) Self-care deficit

Answer 1

The appropriate nursing diagnosis for a client who cannot bathe or groom themselves due to severe right-sided weakness is 'Self-care deficit'. This diagnosis specifically addresses the inability to perform personal hygiene independently.

Step-by-step explanation:

The nursing diagnosis for a client with severe right-sided weakness who is unable to complete bathing and grooming independently is d) Self-care deficit. This diagnosis addresses the client's inability to perform activities of daily living, which includes maintaining personal hygiene. The other options do not directly relate to the client's inability to care for himself. Tissue integrity impairment pertains to damage of skin or mucous membranes, knowledge deficit of hygiene practices suggests a lack of understanding on how to maintain hygiene (which is not the case here), and powerlessness refers to a lack of control over one's situation rather than a physical inability to care for oneself. Given the patient's symptoms and limitations, the most appropriate nursing diagnosis is self-care deficit.