A nurse is caring for client who reports they are feeling stressed because they are unable to et 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?

Body Image

Self-esteem

Role performance

Identity

Answer and Explanation

The Correct Answer is C

A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.

B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.

C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.

D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.

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Correct Answer is A

Explanation

A. Have the client breathe into a paper bag. Breathing into a paper bag helps retain CO₂, which can correct respiratory alkalosis caused by hyperventilation.

B. Plan to administer insulin to the client. Insulin is used to manage hyperglycemia or diabetic ketoacidosis, not respiratory alkalosis.

C. Plan to administer sodium bicarbonate to the client. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis.

D. Have the client place their head between their knees. This position is not a standard intervention for respiratory alkalosis or hyperventilation.

A. Apply friction when drying the client's skin. B. Use soap to clean the client's skin. C. Apply a barrier cream to the client's skin. D. Use hot water to clean the client's skin.

Correct Answer is C

Explanation

A. Apply friction when drying the client's skin. Friction can damage the skin, especially in clients with incontinence who are at risk for skin breakdown.

B. Use soap to clean the client's skin. Soap can be drying and irritating to the skin. pH-balanced cleansers are preferred to maintain skin integrity.

C. Apply a barrier cream to the client's skin. Barrier creams protect the skin from moisture, reducing the risk of skin breakdown and irritation from incontinence.

D. Use hot water to clean the client's skin. Hot water can dry out and damage the skin. Warm water should be used instead to gently clean the skin.

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A nurse is caring for client who reports they are feeling stressed because they are unable to et 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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