A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family?
A) Compromised family coping related to abnormal behavior of child
B) Disturbed thought processes related to deep-set psychological need
C) Parental anxiety related to lack of understanding of childhood development
D) Social isolation related to unwillingness to relate except through imaginary friend
C
Feedback:
The parents need to understand that the child's behavior is not uncommon. Imaginary friends are common in the preschool-age child. The child's behavior is not abnormal. The child does not have a deep-set psychological need. The child is not at risk for social isolation.
You might also like to view...
The perinatal nurse teaches the postpartum woman about warning signs regarding the development of postpartum infection. The nurse teaches that fever and which of the following symptoms need to be assessed by a health-care provider?
A. Breast engorgement B. Diarrhea C. Emotional lability D. Uterine tenderness
The nurse is caring for a client with heart failure. She begins to obtain the client's history and vital signs and then listens to breath sounds. The nurse is practicing which aspect of the Nursing Process?
a. Assessment b. Planning interventions c. Planning outcomes d. Evaluation
The nurse is planning care for a client with disseminated intravascular coagulation to address ineffective tissue perfusion. Interventions appropriate for the client would include:
1. Encouraging deep breathing and coughing. 2. Administering oxygen. 3. Monitoring oxygen saturation. 4. Carefully repositioning the client every 2 hours.
Before helping a client with smoking cessation, the nurse reviews the steps of the change process. In which order should the nurse expect the client to progress through the stages of health change behavior?
Arrange the following stages in the correct order: 1. Preparation stage 2. Contemplation stage 3. Maintenance stage 4. Precontemplation stage 5. Termination stage 6. Action Stage