The nurse is planning care for a school-age child diagnosed with growth hormone deficiency. Which diagnosis should the nurse select to help the patient with this health problem?

Question

A) Risk for situational low self-esteem related to short stature
B) Ineffective tissue perfusion related to infantile blood vessels
C) Impaired skin integrity related to overproduction of melanin
D) Risk for self-directed violence related to oversecretion of epinephrine

Answer 1

A
Feedback:
Children with short stature tend to report feeling of lower quality of life largely related to discrimination. The nurse may need to remind parents to assign duties and responsibilities to children that match their chronologic age, not their physical size, in order to promote children's feelings of maturity and self-esteem. A child that differs in any way from peers may be the victim of bullying. The nurse should alert the parent to this possibility and assess for this at well-child visits to help protect the child's quality of life. Tissue perfusion is not affected by this disorder. This disorder does not cause impaired skin integrity. There is no overproduction of epinephrine with this disorder.