A client, aged 15 years, has been referred to the adolescent mental health clinic by the juvenile court
after being arrested for prostitution. She has run away from home several times and has lived in
homeless shelters.
Her parents told the court they could not manage her, that she was physically
abusive to her mother and defiant and hostile to her father. The client tells the nurse she hates her
parents because they focus attention on her older brother "who is simply perfect in their eyes.". A
nursing diagnosis that can be identified for the client is
a. ineffective coping related to seeking parental attention, as evidenced by acting
out.
b. chronic low self-esteem related to knowing her brother is the parental favorite.
c. hopelessness related to feeling unloved by parents.
d. disturbed personal identity related to living on the streets.
A
The client demonstrates an inability to problem solve by using adaptive behaviors to meet life's
demands and roles. The defining characteristics are not present for the other nursing diagnoses
listed. The client has never mentioned hopelessness, low self-esteem, or disturbed personal identity.
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