Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, "I'd rather stay in my room and listen to music
It's easier than thinking about what is happening in my family." Which nursing diagnosis is most applicable?
a. Chronic low self-esteem related to role within the family
b. Decisional conflict related to compliance with school requirements
c. Ineffective coping related to adjustment to changes in family relationships
d. Disturbed personal identity related to self-perceptions of changing family dynamics
ANS: C
Depression is often associated with impulse control disorder. The correct nursing diagnosis refers to the patient's dysfunctional management of feelings associated with upcoming changes to the family. The teen displays self-imposed isolation. The distracters are not supported by data in the scenario.
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