Age Specific Nursing Care Related

Review Age Specific Nursing Care related questions and content

A client who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother describes her as shy and having few friends. Which would be an appropriate nursing diagnosis for this client?

  • A. Anxiety related to a new environment as evidenced by isolation and not talking with peers
  • B. Impaired social interaction related to unfamiliar environment as evidenced by isolation and not talking with peers
  • C. Ineffective coping related to new environment as evidenced by isolation and minimal interaction with others
  • D. Disturbed thought processes related to a new environment as evidenced by isolation and minimal interactions with others
Correct Answer: B

Rationale: The correct answer is B: Impaired social interaction related to unfamiliar environment as evidenced by isolation and not talking with peers. This is the most appropriate nursing diagnosis because schizoid personality disorder is characterized by a pattern of social detachment and limited emotional expression. The client's behavior of isolating herself and not engaging with peers aligns with impaired social interaction.

Choice A (Anxiety) is incorrect because the client's behavior is more indicative of social detachment rather than anxiety. Choice C (Ineffective coping) is incorrect as there is no evidence to suggest the client is using maladaptive coping strategies. Choice D (Disturbed thought processes) is incorrect as the client's presentation does not indicate any disturbances in thought processes, but rather a lack of social engagement.