A nurse is planning care for a child diagnosed with gender dysphoria. Which of the following nursing diagnoses could potentially document this client's problems? (Select all that apply.)

1. Low self-esteem R/T rejection by peers
2. Self-care deficit R/T isolative behaviors
3. Disturbed personal identity R/T parenting patterns
4. Impaired social interactions R/T socially unacceptable behaviors
5. Activity intolerance R/T fatigue


1, 3, 4
Rationale: Based on the data collected during a nursing assessment, possible nursing diagnoses for the child with gender dysphoria may include the following: Disturbed personal identity related to biological factors or parenting patterns that encourage culturally unacceptable behaviors for assigned gender, impaired social interaction related to socially and culturally unacceptable behaviors, and low self-esteem related to rejection by peers. Self-care deficit and activity intolerance do not address the typical problems of clients diagnosed with gender dysphoria.

Nursing

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