The parents of a school-aged child with school phobia have taken ...

[anjilletteb]

The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which of the following nursing diagnoses would be most appropriate?
 
  A) Disturbed thought processes related to difficulty in school adjustment
  B) Compromised parental coping related to inability to enforce school attendance
  C) Noncompliance with expected school behavior related to school phobia
  D) Ineffective tissue perfusion, cerebral, related to anxiety over attending school

Question 2

Molly is a primipara who delivered a 7 pound, 3 ounce baby girl 10 days ago. During a home visit, the nurse discovers that the baby has lost 11 ounces since birth. She suspects that Molly may be having difficulties with breastfeeding.
 
  The nurse inquires how breastfeeding is pro-ceeding. Molly replies, I don't think my milk is going to come in. My breasts are too big. I am going to wait a few more days and then try to breastfeed again.. The nurse asks Molly if she is bottle-feeding the baby and how much formula the baby is taking every day. Molly replies Oh, I don't want to bottle-feed the baby. I am just going to wait until my milk comes in.. Based on this information, what nursing diagnosis would take priority in planning Mol-ly's care? 1. Pain
  2. Ineffective coping
  3. Caregiver role strain
  4. Deficient knowledge

[livaneabi]

Answer to Question 1

B

Answer to Question 2

4
1. Incorrect. Although the patient may indeed be experiencing pain, it is not indicated in the information provided.
2. Incorrect. Although the patient may indeed be experiencing ineffective coping, it is not indicated in the information provided.
3. Incorrect. The patient appears to exhibit signs of role strain related to being a first-time mother. However, this is not the priority.
4. Correct. Molly is displaying a lack of knowledge regarding proper nutrition for her newborn. The baby has lost more than 10 body weight and is not receiving any form of in-take. Furthermore, Molly has incorrect preconceived notions regarding milk production and breastfeeding.

[anjilletteb]

Excellent

[smrtceo]

Thanks for the timely response, appreciate it