A Family Struggles with Clear Communication,and Members of the Family

A family struggles with clear communication,and members of the family often seek the help of other systems for personal validation and gratification.What should the nurse identify as an appropriate nursing diagnosis for this family?

A) Altered Family Processes related to communication patterns
B) Impaired Verbal Communication related to inability to communicate
C) Ineffective Family Coping evidenced by assistance from outside sources
D) Knowledge Deficiency (communication patterns) related to dysfunctional patterns of communication