The father of a 3-year-old states, "He isn't current on his immunizations. I have full custody of him now, but I don't know what he needs." Which nursing diagnoses would the nurse choose for this situation?
Standard Text: Select all that apply.
1. Caregiver Role Strain
2. Coping, Ineffective
3. Knowledge, Deficient
4. Health Maintenance, Ineffective
Correct Answer: 3, 4
Rationale 1: There is no evidence that this father has Caregiver Role Strain.
Rationale 2: There is no evidence of Ineffective Coping in this situation.
Rationale 3: The father admits that he does not know which immunizations are required.
Rationale 4: The child currently has this risk but will soon drop this diagnosis as immunizations are brought up to date.
Global Rationale: Common nursing diagnoses associated with immunization include Deficient Knowledge (Vaccination Schedule, recommendations), Ineffective Health Maintenance, related to failure to complete immunization schedule, and Risk for Injury, related to adverse drug effects. There is no evidence of Caregiver Role Strain or Ineffective Coping.
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