A nurse is assessing a 10-year old child with severe sickle cell disease. The mother states the child used to love school but now "won't go and won't play with any friends." The nurse notes the child is very thin with an oddly-shaped head and has significant ptosis. Which nursing diagnosis best fits this client?
A) Altered family coping related to effects of disease on family
B) Anxiety related to fear of the unknown and social stressors
C) Readiness for Enhance Self Care related to disease and treatment
D) Social Isolation related to body image changes

Question

Quizplus · Accepted Answer

The child is isolating him/herself probably because of the unanticipated body image changes that have accompanied frequent bouts of SCD crisis. Anxiety might be the real problem, but without any further information Social Isolation is more appropriate.

A Nurse Is Assessing a 10-Year Old Child with Severe