Anxiety Disorders and Stress Q 42
The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
A. Hopelessness
B. Altered parenting role
C. Altered family process
D. Ineffective coping
Correct Answer: B. Altered parenting role
Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child. Provide an opportunity for parents to express their feelings, personal needs, and goals; avoid making judgmental remarks or comparing them to other parents. Supports parents in meeting their own needs.
Option A: This refers to the lack of choices or inability to mobilize one’s resources. Hopelessness can result when someone is going through difficult times or unpleasant experiences. A person may feel overwhelmed, trapped, or insecure, or may have a lot of self-doubts due to multiple stresses and losses. He or she might think that challenges are unconquerable or that there are no solutions to the problems and may not be able to mobilize the energy needed to act on his or her own behalf.
Option C: Refers to change in family relationship and function. Altered family processes can be related to the impact that an ill family member can have on the family system. An illness, hospitalization, surgery, previous diagnoses, coping styles, culture can all place tremendous stress on a family and greatly interfere with keeping a family strong and united.
Option D: Ineffective coping is the inability to form a valid appraisal of the stressor or inability to use available resources. Considering healthy ways to cope and getting the appropriate care and support can put problems in perspective and help stressful feelings and symptoms subside. Nurses, together with the patients, need to recognize stress accordingly to come up with the most effective yet proper strategies that work best for every patient.