A nurse is caring for a client who reports feeling stressed because they are unable to meet demands at work and care for a family member who is ill. The nurse should identify that the client is experiencing which of the following self-concept stressors?
Identity
Role performance
Body image
Self-esteem
The Correct Answer is B
Choice A reason : Identity refers to how individuals perceive themselves, including their beliefs, qualities, and expressions. It is the understanding of oneself as a distinct individual. In the context of the client's situation, while stress can impact one's sense of identity, the primary issue described does not directly relate to the client's identity but rather to their ability to fulfill expected roles.
Choice B reason : Role performance stressors arise when individuals feel they cannot meet the expectations associated with their social or work roles. In this case, the client is stressed due to the difficulty in balancing work responsibilities with the demands of caring for an ill family member. This indicates a conflict in role performance, as the client struggles to adequately fulfill the roles of both employee and caregiver.
Choice C reason : Body image pertains to one's perception of the physical self and the feelings associated with this perception. It includes how individuals view their own body and how they believe others perceive it. The client's stress does not stem from concerns about body image but from the pressures of their responsibilities.
Choice D reason : Self-esteem is the value one places on oneself, encompassing feelings of worthiness or unworthiness. It is influenced by various factors, including personal achievements and recognition from others. Although self-esteem can be affected by stress, the scenario provided specifically highlights the client's stress related to role fulfillment, not their self-worth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason : Change in marital status.A change in marital status is considered a social stressor rather than a physiological one. It relates to the personal and emotional aspects of one's life, impacting mental and emotional well-being rather than directly causing a physiological response.
Choice B reason : Financial difficulties.Financial difficulties are categorized as social stressors. They can lead to significant stress but do not directly cause a physiological response. Instead, they can indirectly affect health over time through sustained stress.
Choice C reason : Academic pressure.Academic pressure is a psychological stressor. It involves cognitive and emotional challenges that can lead to stress but is not a direct physiological stressor.
Choice D reason : Burn injury.A burn injury is a physiological stressor. It causes an immediate physical response in the body, triggering pain receptors, inflammatory responses, and the need for physical healing processes.
Correct Answer is A
Explanation
Choice A reason : Administering an opioid narcotic can be an effective measure for managing dyspnea in end-of-life care. Opioids, such as morphine, can reduce the sensation of breathlessness and improve comfort without significantly affecting oxygen saturation levels. The use of opioids is a well-established practice in palliative care for the relief of dyspnea, particularly when other causes of dyspnea have been addressed and managed appropriately.
Choice B reason : Increasing the heat in the client's room is not a recommended action for managing dyspnea and may actually worsen the client's comfort. Patients experiencing dyspnea often feel better in a cooler environment, as warm temperatures can make breathing feel more labored⁴.
Choice C reason : Placing the head of the client's bed flat is not advisable for managing dyspnea. Elevating the head of the bed can help ease breathing by reducing pressure on the diaphragm and allowing for better lung expansion. A semi-upright position, such as Fowler's or semi-Fowler's position, is typically recommended for patients experiencing dyspnea.
Choice D reason : Nasotracheal suctioning is a procedure used to clear secretions from the airway. While it may be necessary in some cases, it is not a standard action for managing dyspnea in end-of-life care unless there is a specific indication, such as excessive secretions that the patient cannot clear on their own. It can be uncomfortable and distressing for the patient and should be used judiciously⁵.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.