An appropriate nursing diagnosis for a client who frequently ...

[beccaep]

An appropriate nursing diagnosis for a client who frequently expresses guilt or shame, states that he is unable to deal with situations, and is hesitant to try new things would be:
 
  1. Chronic low self-esteem
  2. Powerlessness
  3. Hopelessness
  4. Ineffective coping

Question 2

A client has a nursing diagnosis of ineffective coping related to ineffective problem solving. Which statement made by the client 6 months after beginning therapy would suggest the planned interventions were not optimal?
 
  1. I can't stand my psychiatrist.
  2. I can't decide if I should get my own apartment or not.
  3. I don't think I want to taste that new flavor of ice cream.
  4. I don't think I'm liked well enough to seek election as chairperson.

[succesfull]

Answer to Question 1

ANS: 1
The behaviors mentioned in the situation are congruent with criteria for the diagnosis of chronic low self-esteem. 2. The client's symptoms go beyond powerlessness. 3. Hopelessness does not involve feelings of guilt and shame. 4. The data are not consistent with a diagnosis of ineffective coping.

Answer to Question 2

ANS: 2
This statement indicates indecision and suggests that problem solving is still a client problem. Option 1 shows dislike of the physician. Option 3 expresses a preference. Option 4 is concerned with self-esteem.

[beccaep]

Thank you

[succesfull]

No problemo