A teacher has referred a fifth-grade student to the school nurse because the student has been increasingly quiet and withdrawn in recent months and has been spending most of her recess and lunch breaks alone
The nurse's assessment reveals a strong possibility that the girl is being neglected at home. Which of the following nursing diagnoses is most clearly indicated by this child's behavior?
A) Impaired Social Interaction related to potential maltreatment as evidenced by withdrawal from peers
B) Ineffective Role Performance related to potential maltreatment as evidenced by changes in school behavior
C) Ineffective Coping related to potential maltreatment as evidenced by withdrawal from peers
D) Chronic Low Self-Esteem related to potential maltreatment as evidenced by changes in school behavior
Ans: A
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This child's behaviors are most clearly indicative of a change in social functioning. The other listed nursing diagnoses are plausible, but they are not directly indicated by the evidence available.
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