A patient with blindness related to conversion (functional ...

[appyboo]

A patient with blindness related to conversion (functional neurological) disorder says, All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting.
 
  Which nursing diagnosis is most relevant?
 
  a. Social isolation
  b. Chronic low self-esteem
  c. Interrupted family processes
  d. Ineffective health maintenance

Question 2

A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should:
 
  a. establish a buddy system with other patients who can feed the patient at each meal.
  b. expect the patient to feed self after explaining arrangement of the food on the tray.
  c. direct the patient to locate items on the tray independently and feed self.
  d. address needs of other patients in the dining room, then feed this patient.

[SVictor]

Answer to Question 1

ANS: B
The patient mentions that the symptoms make people more interested. This indicates that the patient feels uninteresting and unpopular without the symptoms, thus supporting the nursing diagnosis of chronic low self-esteem. Defining characteristics for the other nursing diagnoses are not present in the scenario.

Answer to Question 2

ANS: B
The patient is expected to maintain some level of independence by feeding self, while the nurse is supportive in a matter-of-fact way. The distracters support dependency or offer little support.