A nurse is caring for a client with a new colostomy. Which of the following statements indicates an issue with self-concept?
"I had a hard time connecting the appliance, but my sister helped me."
"I have a distant relative who has one. I can talk with them about this."
"It might take a while to get this right on the first try."
"I am never going to be able to do this."
The Correct Answer is D
Choice A reason: This is not a statement that indicates an issue with self-concept. The client acknowledges their difficulty with the colostomy appliance, but also shows that they have family support and assistance. This suggests that the client has a positive self-concept and coping skills.
Choice B reason: This is not a statement that indicates an issue with self-concept. The client expresses their willingness to communicate with their relative who has a colostomy. This indicates that the client has a positive self-concept and social support.
Choice C reason: This is not a statement that indicates an issue with self-concept. The client recognizes that learning to manage the colostomy may take some time and practice. This implies that the client has a positive self-concept and realistic expectations.
Choice D reason: This is the statement that indicates an issue with self-concept. The client expresses a negative and hopeless attitude towards the colostomy. This suggests that the client has a poor self-concept and low self-efficacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Identity vs role confusion is the fifth psychosocial stage, which occurs from 12 to 18 years. The main task of this stage is to develop a sense of identity and personal values.
Choice B reason: This is not the correct stage. Intimacy vs isolation is the sixth psychosocial stage, which occurs from 18 to 40 years. The main task of this stage is to develop a sense of intimacy and commitment in relationships.
Choice C reason: This is not the correct stage. Integrity vs despair is the eighth and final psychosocial stage, which occurs from 65 years and older. The main task of this stage is to develop a sense of integrity and acceptance of one's life.
Choice D reason: This is not the correct stage. Generativity vs stagnation is the seventh psychosocial stage, which occurs from 40 to 65 years. The main task of this stage is to develop a sense of generativity and contribution to society.
Correct Answer is D
Explanation
Choice A reason: This is not the correct stage. Trust vs mistrust is the first psychosocial stage, which occurs from birth to 18 months. The main task of this stage is to develop a sense of trust in the caregivers and the environment.
Choice B reason: This is not the correct stage. Autonomy vs shame and doubt is the second psychosocial stage, which occurs from 18 months to 3 years. The main task of this stage is to develop a sense of independence and self-control.
Choice C reason: This is not the correct stage. Initiative vs guilt is the third psychosocial stage, which occurs from 3 to 6 years. The main task of this stage is to develop a sense of initiative and creativity.
Choice D reason: This is the best answer. Industry vs inferiority is the fourth psychosocial stage, which occurs from 6 to 12 years. The main task of this stage is to develop a sense of competence and achievement in social and school activities.
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