Author Question: Which assessment finding would cause the nurse to consider an 8-year-old child to be most at risk ... (Read 32 times)

swpotter12 · **on:** Jul 19, 2018

Which assessment finding would cause the nurse to consider an 8-year-old child to be most at risk for the development of a psychiatric disorder?

a. Being raised by a parent with chronic major depression
b. Moving to three new homes over a 2-year period
c. Not being promoted to the next grade
d. Having an imaginary friend

Question 2

An adolescent is arrested for prostitution and assault on a parent. The adolescent says, I hate my parents. They focus all their attention on my brother, who's perfect in their eyes. Which nursing diagnosis is most applicable?

a. Ineffective coping, related to seeking parental attention as evidenced by acting out
b. Disturbed personal identity, related to acting out as evidenced by prostitution
c. Impaired parenting, related to showing preference for one child over another
d. Hopelessness, related to feeling unloved by parents

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

Answer to Question 1

ANS: A
Statistics tell us that children raised by a depressed parent have a 30 to 50 chance of developing an emotional disorder. The chronicity of the parent's depression means it has been a consistent stressor. The other factors do not create ongoing stress.

Answer to Question 2

ANS: A
The patient demonstrates an inability to problem solve by using adaptive behaviors to meet life's demands and roles. The defining characteristics are not present for the other nursing diagnoses. The patient has never mentioned hopelessness, low self-esteem, or disturbed personal identity.