Author Question: During her aunt's wake, a four-year-old child runs up to the casket before a mother can stop her. An ... (Read 20 times)

Charlie · **on:** Jul 19, 2018

During her aunt's wake, a four-year-old child runs up to the casket before a mother can stop her. An appointment is made with a nurse practitioner when the child starts twisting and pulling out hair.

Which nursing diagnosis should the nurse practitioner assign to this child? 1. Complicated grieving
2. Altered family processes
3. Ineffective coping
4. Body image disturbance

Question 2

A client who will be receiving electroconvulsive therapy (ECT) must provide informed consent. Which situation should cause a nurse to question the validity of the informed consent?

1. The client is paranoid.
2. The client is 87 years old.
3. The client incorrectly reports his or her spouse's name, date, and time of day.
4. The client relies on his or her spouse to interpret the information.

ju · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Ineffective coping is defined as an inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources. This child is coping with the anxiety generated by viewing her deceased aunt by pulling out hair. If this behavior continues, a diagnosis of hair-pulling disorder, or trichotillomania, may be assigned.

Answer to Question 2

3
Rationale: The nurse should question the validity of informed consent when the client incorrectly reports the spouse's name, date, and time of day. This indicates that this client is disoriented and may not be competent to make informed choices.