Author Question: A client on an inpatient unit angrily says to a nurse, Peter is not cleaning up after himself in the ... (Read 41 times)

lak · **on:** Jul 19, 2018

A client on an inpatient unit angrily says to a nurse, Peter is not cleaning up after himself in the community bathroom. You need to address this problem. Which is the appropriate nursing response?

1. I'll talk to Peter and present your concerns.
2. Why are you overreacting to this issue?
3. You should bring this to the attention of your treatment team.
4. I can see that you are angry. Let's discuss ways to approach Peter with your concerns.

Question 2

A nurse is planning care for a child diagnosed with gender dysphoria. Which of the following nursing diagnoses could potentially document this client's problems? (Select all that apply.)

1. Low self-esteem R/T rejection by peers
2. Self-care deficit R/T isolative behaviors
3. Disturbed personal identity R/T parenting patterns
4. Impaired social interactions R/T socially unacceptable behaviors
5. Activity intolerance R/T fatigue

fromAlphatoOmega22 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: The most appropriate nursing response involves restating the client's feeling and developing a plan with the client to solve the problem. According to Skinner, every interaction is an opportunity for therapeutic intervention to improve communication and relationship-development skills.

Answer to Question 2

1, 3, 4
Rationale: Based on the data collected during a nursing assessment, possible nursing diagnoses for the child with gender dysphoria may include the following: Disturbed personal identity related to biological factors or parenting patterns that encourage culturally unacceptable behaviors for assigned gender, impaired social interaction related to socially and culturally unacceptable behaviors, and low self-esteem related to rejection by peers. Self-care deficit and activity intolerance do not address the typical problems of clients diagnosed with gender dysphoria.