A community health nurse meets with a 15-year-old single mother to teach a tube-feeding technique to her infant. The teen's mother is present
The nurse notes that the young mother is hesitant to try the feeding technique and does not ask questions. During the feeding, the teen mother almost drops the feeding tube and is scolded by her mother for being clumsy. Based on this initial information, which nursing diagnosis is most appropriate? 1. Anxiety related to lack of knowledge and inexperience
2. Ineffective Family Coping related to conflicted daughter–parent relationship and dysfunctional communication
3. Social Interaction Impaired related to paternal interference
4. Self-Esteem (Low) Situational, related to lack of experience, criticism, and role uncertainty
4
Rationale: When people feel confident to deal with stress and the situation, their behavior is task-oriented. This young mother lacks the confidence to deal with a new experience. She is unprepared to accept a new role as a mother and has little emotional support from her own parent. While the teen attempts to take on the task of nurturing her newborn, other factors in the environment pose obstacles to her success. The diagnosis of Anxiety related to lack of knowledge and inexperience does not capture the obstacles to role performance in the teen's environment. There is no data to support a diagnosis of Impaired Social Interaction, Ineffective Family Coping, or Ongoing Dysfunctional Communication.
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