Home » NCLEX » NCLEX-PN » A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
A. Actual Chronic Low Self-Esteem (related to obesity).
B. Potential Chronic Low Self-Esteem (related to obesity).
C. Actual Situational Low Self-Esteem (related to fear of weight regain and pregnancy).
D. Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy).
Correct Answer: D
Explanation/Reference:
Explanation:
If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one–that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self. Psychosocial Integrity
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