Author Question: Which of the following would be a correctly formulated diagnosis for a client with a long, extensive ... (Read 34 times)

kwoodring · **on:** Jul 23, 2018

Which of the following would be a correctly formulated diagnosis for a client with a long, extensive history of psychiatric problems, beginning in childhood. that is being placed in a long-term, structured institutional environment?

1. Chronic low self-esteem, related to factors too numerous to mention
2. Risk for self-harm, related to many psychiatric problems
3. Impaired social interaction, due to long history of institutionalizatio n
4. Alteration in thought processes, related to complex factors

Question 2

A client just had a baby following a long labor and difficult delivery. Which of the following nursing diagnoses is formulated correctly?

1. Constipation, due to tissue trauma, manifested by no bowel movement for 2 days
2. Risk for infection, because of new incision, related to episiotomy
3. Ineffective breast-feeding, related to lack of motivation, secondary to exhaustion
4. Altered urinary elimination, secondary to childbirth

aidanmbrowne · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: This option poorly describes the causing factors.
Rationale 2: This option poorly describes the causing factors.
Rationale 3: This option limits the description of causing factors.
Rationale 4: The phrase complex factors may be used when there are too many etiologic factors or when they are too complex to state in a brief phrase. The actual cause of this client's altered thought process may be due to psychiatric diagnoses, medication tolerances and noncompliance, history of institutionalizatio n, and life history of mental disease. This is a variation of the basic two-part statement, but acceptable to use.

Answer to Question 2

Correct Answer: 3
Rationale 1: Manifested is not appropriate wording of the NANDA statement.
Rationale 2: Because of is not appropriate wording of the NANDA statement.
Rationale 3: The problem statement is listed first (NANDA label), followed by the etiologyfactors that contribute to or are the cause of the client's response. The two parts are joined by the words related to, implying a relationship between the two. Adding a second part to the etiology statement makes it more descriptive and useful.
Rationale 4: The problem statement is listed first (NANDA label), followed by the etiologyfactors that contribute to or are the cause of the client's response lacking in this option.