The nurse is planning care for a pediatric client who has a fractured femur and requires a spica cast after being involved in a motor vehicle accident. The client's adolescent brother was driving the car, which was a total loss. The client's father lost his job 3 weeks ago and the mother has just accepted a temporary waitress job. Which is an appropriate nursing diagnosis for this child, and

Question

family, based on the current data?

1. Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
2. Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
3. Impaired Social Interaction (parent and child) related to the lack of family or respite support.
4. Compromised Family Coping related to multiple simultaneous stressors.

Answer 1

4
Explanation:
1. The spica cast might require alteration in family functioning; however, the situation describes no signs and symptoms to indicate this. In addition, fractures generally are not considered a significant long-term disability.
2. The need for a spica cast is not considered a newly acquired disability. Nothing about the situation describes caregiver role strain.
3. Lack of family members and lack of respite support were not mentioned in the scenario.
4. The situation describes multiple changes, or stressors, in the family's situation that compromise family coping skills.