A 15-year-old adolescent has been earning very poor grades in school. Her teacher sent her to the school nurse because she has lost over 40 pounds. When the nurse weighs this student, she is 92 pounds
When talking to the nurse, the student holds her head down and states that she will bring her grades up. When asked about her weight, this adolescent reports that she is fat and needs to lose more weight. Which nursing diagnosis is appropriate for this adolescent client? a. Self-Esteem Disturbance
b. Altered Thought Processes
c. Body Image Disturbance
d. Sleep Pattern Disturbance
C
The most appropriate nursing diagnosis for the student is Body Image Disturbance. She weighs only 92 pounds but sees herself as fat and needing to lose more weight. Her perception of her body image is not consistent with the reality that she is underweight. A disturbance in body image occurs in adolescents who are struggling to cope with the transitions their bodies are undergoing.
You might also like to view...
The nurse should monitor a client receiving lidocaine (Xylocaine) IV closely for which of the following? Select all that apply
A) Heartburn B) Apprehension C) Hypotension D) Auditory changes E) Bradycardia
A nursing student wishes to initiate a search for interesting research topics. The student decides to peruse client positioning during pulmonary artery catheter readings
Among the following, which are suitable for this topic? Select all that apply. 1. PsychINFO 2. MEDLINE 3. Google 4. CINAHL 5. PubMed
All of the following are considered indicators of functional performance mechanisms EXCEPT
A. Health promotion B. Physical health C. Psychosocial health D. Physical mobility
You have just completed a new client assessment on a patient in the community. Using your knowledge that a common process is to assess individuals for risk factors that have been associated with a disease or illness, what are risk factors?
A) Course of a disease or condition from the onset to resolution B) Primary measurement used to describe either the occurrence or the existence of a specific state of health or illness C) Probability or likelihood that a disease or illness will occur in a group of people who presently do not have the problem D) Characteristics or events that have been shown to increase the probability that a specific disease or illness will develop