While gathering an adolescent's health history, the nurse recognizes that the patient began to act out behaviorally and engage in risky behavior when her parents divorced
In considering an altered self-concept nursing diagnosis, the nurse would gather what information?
a. How long the parents were married
b. How the patient views her behaviors
c. Why the parents are divorcing
d. Why she is acting out of control
ANS: B
A nurse can identify situational life stressors that can impact a person's self-concept. By openly exploring a patient's thoughts and feelings, the nurse will be able to use communication skills in a therapeutic manner. This will facilitate the patient's insight into behaviors and will enable the nurse to make referrals or provide needed health teaching. The length of time married and the reason for the parents' divorce do not explain the patient's behaviors. Why the patient is out of control is not as important as how the patient views her actions when out of control.
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