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Exam NCLEX-PN topic 1 question 55 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 55
Topic #: 1
[All NCLEX-PN Questions]

A client who is experiencing infertility says to the nurse, "I feel I will be incomplete as a man/woman if I cannot have a child." Which of the following nursing diagnoses is likely to be appropriate for this client?

  • A. Risk for Self Harm
  • B. Body Image Disturbance
  • C. Ineffective Role Performance
  • D. Powerlessness
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Suggested Answer: B 🗳️
Of the nursing diagnoses listed, the clients statement most represents Body Image Disturbance because it directly refers to loss of the function of having a child.
Nothing in the statement indicates that the client is at risk for harming herself. Ineffective Role Performance could be correct but is not the best choice because the statement does not reflect a disruption of the parents role. Powerlessness could be an appropriate nursing diagnosis if the client described feeling powerless about the infertility. Health Promotion and Maintenance

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