An adolescent is arrested for prostitution and assault on a parent. The adolescent says, "I hate my parents. They focus all their attention on my brother, who's perfect in their eyes." Which nursing diagnosis is most applicable?
a. Ineffective coping, related to seeking parental attention as evidenced by acting out
b. Disturbed personal identity, related to acting out as evidenced by prostitution
c. Impaired parenting, related to showing preference for one child over another
d. Hopelessness, related to feeling unloved by parents
ANS: A
The patient demonstrates an inability to problem solve by using adaptive behaviors to meet life's demands and roles. The defining characteristics are not present for the other nursing diagnoses. The patient has never mentioned hopelessness, low self-esteem, or disturbed personal identity.
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