The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

Correct Answer: D

Rationale: The correct answer is D: Ineffective coping. The parents' apprehensions indicate they are struggling to effectively manage the challenges of caring for their maladaptive child. This nursing diagnosis addresses their difficulty in dealing with stressors and adapting to the situation. Choice A (Hopelessness) focuses on feelings of despair, not directly related to coping. Choice B (Altered parenting role) pertains to changes in parenting responsibilities, not specifically addressing coping mechanisms. Choice C (Altered family process) refers to disruptions in family functioning, but does not pinpoint the parents' coping abilities. In contrast, choice D directly addresses the parents' struggle to cope with the situation, making it the most appropriate nursing diagnosis in this scenario.

Correct Answer: A

Rationale: The correct answer is A because learning problem-solving skills can help the patient regain control over their eating habits and address the underlying issue of powerlessness. This intervention empowers the patient to identify triggers, develop coping strategies, and make informed decisions about their eating behaviors. Choices B, C, and D are incorrect because decreasing anxiety symptoms, performing self-care activities, and verbalizing setting limits on others do not directly address the core issue of powerlessness related to bulimia nervosa.

Correct Answer: B

Rationale: The correct answer is B because malingering involves intentionally feigning or exaggerating symptoms for secondary gain, such as avoiding responsibilities or obtaining benefits. In contrast, somatoform disorders are characterized by genuine physical symptoms without a conscious intent to deceive. Choice A is incorrect as malingering does not have an organic basis, unlike genuine medical conditions. Choice C is incorrect as malingering is not driven by obtaining gratification from the environment. Choice D is incorrect as stress being expressed through physical symptoms is characteristic of somatoform disorders, not malingering.

Correct Answer: D

Rationale: The correct answer is D because for clients with somatoform disorders, expressing anxiety verbally can help them address underlying psychological issues rather than manifesting physical symptoms. This goal focuses on improving emotional expression and reducing reliance on physical symptoms for coping. Choice A is incorrect as it does not address the root cause of the disorder. Choice B is incorrect because coping with physical illness is not the primary goal in somatoform disorders. Choice C is incorrect as medication alone may not address the psychological aspects of the disorder.

Correct Answer: B

Rationale: The correct answer is B: Heroin dependence. Heroin is a highly addictive substance that can pass through the placenta to the developing fetus, leading to physical dependence in the baby. This can result in withdrawal symptoms after birth, known as Neonatal Abstinence Syndrome (NAS). NAS can cause various health issues for the baby, including respiratory problems, feeding difficulties, seizures, and even death. Therefore, if the mother continues to be dependent on heroin during pregnancy, the baby is at high risk for developing heroin dependence due to exposure in utero. Incorrect choices: A: Mental retardation - Heroin use during pregnancy can impact the baby's cognitive development, but it is not directly linked to mental retardation. C: Addiction in adulthood - While exposure to heroin in utero can increase the risk of addiction later in life, the immediate concern is the baby developing heroin dependence. D: Psychological disturbances - Heroin use can contribute to psychological issues in both the mother and the baby, but the