A nurse is planning to interview a client to determine their self-concept. Which of the following actions should the nurse plan to take first?

Assist the client in identifying coping strategies that have worked in the past

Identify health alterations that are related to self-concept.

Collaborate with the client to establish short and long-term goals.

Determine whether the desired outcome has been achieved.

Answer and Explanation

The Correct Answer is B

Choice A reason : While assisting the client in identifying coping strategies that have worked in the past is important, it is not the first step in assessing self-concept. Coping strategies are part of a broader plan to manage self-concept issues once they have been identified.

Choice B reason : Identifying health alterations that are related to self-concept is the first step in the assessment process. Understanding how health changes affect the client's perception of themselves can provide a foundation for further exploration and intervention planning.

Choice C reason : Collaborating with the client to establish short and long-term goals is an important part of the care plan but should come after a thorough assessment of the client's self-concept and related health alterations.

Choice D reason : Determining whether the desired outcome has been achieved is part of the evaluation phase of the nursing process and should occur after interventions have been implemented, not during the initial assessment of self-concept.

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Correct Answer is D

Explanation

Choice A reason : Inability to form healthy relationships is not typically associated with fixation at the oral stage of development. Freud's theory suggests that this issue is more related to the Oedipal conflict during the phallic stage, where the individual's interactions with parental figures shape their future relationships.

Choice B reason : Feelings of shame are generally associated with the anal stage of Freud's psychosexual development, where the child's experiences with toilet training can lead to outcomes that manifest as either excessive orderliness or messiness in adulthood, rather than shame, which is not directly linked to the oral stage.

Choice C reason : Bedwetting is not a condition associated with the oral stage of development. It is more related to the anal stage, where issues of control and independence are central, and bedwetting can be a manifestation of conflicts around toilet training.

Choice D reason : Overeating is a classic example of an oral stage fixation. According to Freud, if an individual's needs are not properly met during the oral stage (0–1 years), they may develop habits such as overeating or smoking to satisfy the residual need for oral stimulation.

A. Uses a cane to ambulate. B. Macular degeneration. C. Grab bar in the bathroom D. Electrical cord on floor over walkway. E. Throw rugs over tile floors

Correct Answer is ["B","D","E"]

Explanation

Choice A reason : Using a cane to ambulate is generally a measure to improve stability and reduce the risk of falling for individuals who may have balance or mobility issues. It is not inherently a risk factor for falls; rather, it is a compensatory strategy to mitigate the risk of falls1.
Choice B reason : Macular degeneration can significantly impact visual acuity and contrast sensitivity, leading to difficulties in navigation and increasing the risk of tripping or misjudging distances. Poor vision is a well-documented risk factor for falls, especially in unfamiliar or complex environments.
Choice C reason : A grab bar in the bathroom is a safety device installed to provide stability and support for individuals while they are using the bathroom facilities. It is a preventive measure against falls and does not increase the risk of falling.
Choice D reason : An electrical cord on the floor over a walkway is a tripping hazard. It is a common home hazard that can cause falls, especially in the elderly or those with mobility and visual impairments78.
Choice E reason : Unsecured throw rugs over tile floors are a recognized fall hazard. They can easily slip underfoot or cause tripping if the edges are not secured, which is particularly dangerous in areas like the kitchen where spills can make the floor even more slippery.

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A nurse is planning to interview a client to determine their self-concept. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about Freud's psychosexual stages. The nurse should reinforce that fixation at the oral stage of development can lead to which of the following conditions?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client. Exhibits A nurse in a provider’s office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is assisting with teaching a class about Kohlberg's theory of moral development. The nurse should reinforce that which of the following stages involves challenging rules that impinge on the rights of others?

A nurse is reinforcing teaching with a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make?

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?

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take?

A nurse is assisting with teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause central sleep apnea (CSA)?

A nurse is assisting with teaching a class on prenatal development. The nurse should instruct that advanced maternal age increases the risk for which of the following conditions?

A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?

A nurse is caring for a client who states, "I am under a great deal of stress at work, but I am able to forget my work and concentrate on my family when I get home at night." The nurse should identify that the client is demonstrating which of the following defense mechanisms?