Shortly after her parents announced that they were divorcing, a 15-year-old high-school junior
stopped participating in cheerleading and began to sit alone at lunch and avoid former friends. At
home she spends most of her time in her room.
She tells the nurse "All the kids at school have
families. Now that my parents are divorcing, I am an outsider. If my parents loved me, they would
work out their problems.". What nursing diagnosis should be considered based on the assembled
data?
a. Decisional conflict
b. Social isolation
c. Disturbed thought processes
d. Disturbed personal identity
B
This diagnosis refers to aloneness that the client perceives negatively, even when self-imposed.
Defining characteristics that the teen displays include expressing feelings of being different from
others and self-imposed isolation from peers and family. The other options are not supported by data
in the scenario.
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