A homeless client with bipolar disorder states that he sometimes feels "normal" but does not know how to possibly begin to put his life back together. Which of the following nursing diagnoses would provide the best direction for intervention?
A) Social Isolation related to chronic homelessness
B) Chronic Low Self-Esteem related to social stigma associated with mental illness
C) Powerlessness related to history of minimal functioning
D) Ineffective Coping related to mental illness
Ans: C
Feedback:
This client is feeling Powerlessness related to lack of personal control over environment. Other possible nursing diagnoses for a homeless mentally ill client include Interrupted Family Processes related to recent displacement; Social Isolation related to new onset of homelessness; Ineffective Coping related to family disruption; Chronic Low Self-Esteem related to onset of psychotic illness; Social Isolation related to mistrust of others and lack of social support system; Risk for Infection related to congested environment and poorly ventilated shelter setting; and Risk for Injury related to inability to maintain personal boundaries.
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