Author Question: A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive ... (Read 81 times)

mp14 · **on:** Jul 19, 2018

A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive disorder tells the nurse, I failed my battalion by giving the wrong order. Fortunately, no one was injured.

Which nursing diagnosis should the nurse assign to this client? A. Chronic low self-esteem
B. Risk for self-directed violence
C. Powerlessness
D. Situational low self-esteem

Question 2

A labor and delivery nurse listens to a new mother relate thoughts regarding her healthy, 8-pound baby girl. Which statement by the mother indicates to the nurse the use of the cognitive error, selective abstraction?

A. My baby is refusing to nurse, and I know it's because she hates me.
B. My baby needs to be under the bilirubin lights,' but I resent her time away from me.
C. My baby is wonderful, but I'm depressed because I wanted twins.
D. My baby has an elevated bilirubin, and I know it will get worse and she will die.

karmakat49 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Emotional responses are largely dependent on cognitive appraisals of the significance of environmental cues. The nursing diagnosis of situational low self-esteem is used for individuals who have a negative perception of self-worth in response to a current situation. This client's cognitive appraisal of the situation has led to the diagnosis of major depressive disorder and low self-esteem.

Answer to Question 2

C
In selective abstraction the individual focuses attention on evidence that is viewed as a failure (not having twins) rather than any successes (a healthy baby) that have occurred.