An 11-year-old boy stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter
During the community mental health nurse's visit, he reveals that he thinks his father does not like him because he calls him "stupid" all the time. He states he is too dumb to learn much and has no friends at school because he does not deserve them. Which nursing diagnosis should be the priority for the child? a. Helplessness
b. Knowledge deficit
c. Ineffective coping
d. Chronic low self-esteem
D
The child has indicated he believes he may be too dumb to learn, does not deserve to have friends, and is frequently demeaned by his father, all clues to Chronic low self-esteem. Although Knowledge deficit would seem likely because of his absences from school, this is not supported by the data provided and is a lesser priority than self-esteem. Helplessness could also be inferred from the child's negative outlook and limited options, but again, the data do not specifically document this. Ineffective coping is not described in the problem statement.
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