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North American Nursing DiagnosisAssociation (NANDA)–approved nursing diagnoses have alsobeen formulated to assist nurses in identifying and addressingthe client’s spiritual dimension.

Group 1 receivedantioxidants (vitamin C, vitamin E, and beta-carotene); Group 2 receivedminerals (zinc and copper); Group 3 received a combination of antioxi-dants and minerals; and Group 4 received placebo.

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Confidentiality applies to both thewritten and verbal release of protected health information. This reactionoccurs only in some individuals and its basisis unclear.