Which of the following nursing diagnoses would be a priority for a 1-month-old girl with low-set ears and severe hypotonia who is diagnosed with trisomy 18?
A) Interrupted family process related to the child's diagnosis
B) Deficient knowledge related to the genetic disorder
C) Risk for complicated grieving related to the child's prognosis
D) Inadequate coping related to stress of providing care
C
Response:
Risk for complicated grieving related to the child's prognosis is a nursing diagnosis specific to this child's care. The prognosis for trisomy 18 is that the child will not survive beyond the first year of life. Inadequate coping related to the stress of providing care, deficient knowledge related to the genetic disorder, and interrupted family process due to the child's diagnosis could be appropriate for any family of a child with a genetic disorder.
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