Shortly after an adolescent's parents announce a plan to divorce, ...

[james]

Shortly after an adolescent's parents announce a plan to divorce, the teen stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, If my parents loved me, then they would work out their problems.
 
  What nursing diagnosis is most applicable?
 
  a. Ineffective coping
  b. Decisional conflict
  c. Chronic low self-esteem
  d. Disturbed personal identity

Question 2

When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that uses:
 
  a. play activities exclusively.
  b. group discussion exclusively.
  c. talk focused on a specific issue.
  d. play and talk about the play activity.

[marict]

Answer to Question 1

ANS: A
Ineffective coping is evident in the adolescent's response to family stress and discord. Adolescents value peer interactions, and yet this child has eliminated that source of support. The distracters are not supported by the data in this scenario.

Answer to Question 2

ANS: D
Group therapy for young children takes the form of play. For elementary school children, therapy combines play and talk about the activity. For adolescents, group therapy involves more talking.

[james]

Thanks for the timely response, appreciate it

[Alyson.hiatt@yahoo.com]

Gracias!