The nurse is formulating a nursing diagnosis for a client with a long, extensive history of psychiatric problems, beginning in childhood, who is being placed in a long-term, structured institutional environment
Which diagnosis indicates the client's problem is adequately described?
1. Chronic low self-esteem, related to factors too numerous to mention
2. Risk for self-harm, related to many psychiatric problems
3. Impaired social interaction, due to long history of institutionalization
4. Alteration in thought processes, related to complex factors
Correct Answer: 4
Rationale 1: This option poorly describes the causing factors.
Rationale 2: This option poorly describes the causing factors.
Rationale 3: This option limits the description of causing factors.
Rationale 4: The phrase "complex factors" may be used when there are too many etiologic factors or when they are too complex to state in a brief phrase. The actual cause of this client's altered thought process may be due to psychiatric diagnoses, medication tolerances and noncompliance, history of institutionalization, and life history of mental disease. This is a variation of the basic two-part statement, but is acceptable to use.
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