Author Question: What is the first nursing priority in a client with the nursing diagnosis of Personal identity, ... (Read 88 times)

Zoey63294 · **on:** Jul 19, 2018

What is the first nursing priority in a client with the nursing diagnosis of Personal identity, disturbed?

a. Promote wellness.
b. Assist the client to manage any threatening feelings.
c. Assess causative and/or contributing factors.
d. Determine which medications will work most effectively.

Question 2

The parents of a 13-year-old girl are concerned that their daughter has a gender identity disorder. Which sign or symptom most indicates that their concern is correct?

a. Their daughter is playing sports typically considered boys' sports.
b. Their daughter has more male friends than female friends.
c. Their daughter does not like to change her clothes in front of anyone.
d. Their daughter frequently wears clothes designed for males.

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

Answer to Question 1

C
Causative and/or contributing factors would be the first priority in guiding the rest of the care planning process. The second priority for a client with this nursing diagnosis would be to assist the client to manage any threatening feelings, followed by promoting wellness. Determining which medications are effective is not a nursing priority for this nursing diagnosis; rather, this is more of a physician-initiated action.

Answer to Question 2

D
This behavior is more indicative of a gender identity disorder than the other options. This behavior fulfills the need for this girl to identify with the male gender. Playing sports typically considered boys' sports and having more male friends are not considered behaviors of gender identity disorders unless other characteristic behaviors of the disorder occur. Not wanting to change clothes in front of anyone is a common behavior that reflects a 13-year-old's need for privacy.