A nurse is caring for a client who reports they are 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?
Role performance.
Body image.
Self-esteem.
Identity.
The Correct Answer is A
Choice A rationale:
Role performance. Role performance is a self-concept stressor that occurs when individuals struggle to meet their responsibilities and expectations in various roles, such as work, family, or social roles. In this scenario, the client is feeling stressed due to the demands of work and caring for an ill family member, indicating a struggle with their roles and responsibilities.
Choice B rationale:
Body image. Body image relates to how individuals perceive and feel about their physical appearance. It is not the primary self-concept stressor described in this situation. While stressors related to body image can cause psychological distress, the client's stress is primarily linked to their roles and responsibilities.
Choice C rationale:
Self-esteem. Self-esteem refers to an individual's overall self-worth and self-evaluation. While it can contribute to stress in various situations, the client's stress in this case is more directly related to their role performance and responsibilities.
Choice D rationale:
Identity. Identity concerns are related to an individual's sense of self and how they define themselves in terms of their values, beliefs, and personal characteristics. While identity can be a source of stress in some cases, the client's reported stress is primarily due to their inability to manage their roles effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Reduced respiratory rate is not a typical manifestation of pain. In fact, pain often leads to an increased respiratory rate as the body responds to discomfort by trying to minimize it.
Choice B rationale:
Elevated blood pressure is a common manifestation of pain. When a person experiences pain, their sympathetic nervous system is activated, leading to an increase in heart rate and blood pressure. This response is designed to prepare the body to fight or flee from a potential threat, and it helps redirect blood flow to vital organs.
Choice C rationale:
Constricted pupils are not a direct manifestation of pain. In contrast, dilated pupils can be seen in response to pain as a result of sympathetic nervous system activation.
Choice D rationale:
Decreased heart rate is not typically associated with pain. Pain tends to increase heart rate as a part of the body's stress response.
Correct Answer is B
Explanation
Choice A rationale:
Full-thickness skin loss with visible adipose tissue is not indicative of a stage 1 pressure injury. A stage 1 pressure injury involves intact skin with localized erythema. Full-thickness skin loss with visible adipose tissue is more characteristic of a stage 2 or higher pressure injury.
Choice B rationale:
Intact skin with localized erythema is the hallmark of a stage 1 pressure injury. In this stage, the skin is still intact, but there is non-blanchable erythema (redness) that indicates tissue damage. There is no full-thickness skin loss, and the underlying structures are not visible.
Choice C rationale:
Full-thickness skin loss with visible bone is not characteristic of a stage 1 pressure injury. This description is more in line with a stage 4 pressure injury, where there is extensive tissue loss, and bone or other underlying structures are visible.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is not indicative of a stage 1 pressure injury. This description is more typical of a stage 2 pressure injury, where there is partial-thickness skin loss, but the wound bed may contain pink or red tissue without visible adipose tissue.
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