Author Question: The nursing diagnosis that would not be made for a client having experienced a situational crisis ... (Read 13 times)

shenderson6 · **on:** Jul 19, 2018

The nursing diagnosis that would not be made for a client having experienced a situational crisis is:

1. Risk for Loneliness.
2. Risk for Self-directed Violence.
3. Spiritual Distress.
4. Impaired Social Interaction.

Question 2

An adolescent student tells the nurse, I lost ten pounds in the last three months. I believe I have anorexia. The nurse's response should be based on the following understanding:

1. Since the student is willing to talk about the issue, the student is probably not anorexic.
2. The student may be anorexic if the weight loss has lead to maintenance body weight less than 85 of the expected.
3. The student is not anorexic because the student's physical development has not been affected by nutritional status.
4. There is cause for alarm since most adolescent females experience anorexia.

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

Answer to Question 1

1
Rationale: Loneliness may result from an individual's actions following a crisis, but it is not a nursing diagnosis. The other three answers are among the most common nursing diagnoses for people in crisis.

Answer to Question 2

2
Rationale: Weight loss leading to maintenance body weight less than 85 of the expected is part of the DSM-lV-TR Diagnostic Criteria for anorexia nervosa. Most adolescent females do not experience anorexia. The student's willingness to talk about the issue does not mean the student is not anorexic. There is no information about the student's physical development in the scenario.