A 15-year-old was referred to the mental health clinic by ...

[09madisonrousseau09]

A 15-year-old was referred to the mental health clinic by juvenile court after an arrest for vandalism and assault on a teacher. The teen tells the nurse, I hate my parents. They focus all attention on my brother, who is perfect in their eyes..
 
  Which nursing diagnosis applies? a. Chronic low self-esteem related to feelings of guilt, as evidenced by believing a brother is the parental favorite
  b. Hopelessness related to feeling unloved by parents, as evidenced by assaulting a teacher
  c. Ineffective coping related to seeking parental attention, as evidenced by acting out
  d. Disturbed personal identity related to acting out, as evidenced by vandalism

Question 2

Which nursing diagnosis is more relevant for a patient with anorexia nervosa who restricts intake and is 20 below normal weight than for a 130-pound patient with bulimia nervosa who purges?
 
  a. Powerlessness
  b. Ineffective coping
  c. Disturbed body image
  d. Imbalanced nutrition: less than body requirements

[Amiracle]

Answer to Question 1

C
The patient demonstrates an inability to problem solve by using adaptive behaviors to meet life's demands and roles. The defining characteristics are not present for the other nursing diagnoses listed. The patient has not indicated hopelessness, low self-esteem, or disturbed personal identity.

Answer to Question 2

D
The patient with bulimia nervosa usually maintains weight close to normal, whereas the patient with anorexia nervosa may approach starvation. The distracters may be appropriate for patients with either anorexia nervosa or bulimia nervosa.