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 C

Explanation

Choice A reason : Increasing intake of saturated fats is not recommended for reducing stress. Saturated fats can contribute to the development of heart disease by raising cholesterol levels and should be limited in a healthy diet.

Choice B reason : Limiting alcohol intake is generally a good practice, but specifying "3 drinks per day" is not accurate. The Dietary Guidelines for Americans recommend up to one drink per day for women and up to two drinks per day for men.

Choice C reason : Choosing complex carbohydrates each day is beneficial for managing stress. Complex carbohydrates can increase the amount of serotonin in the brain, which has a calming effect. Foods rich in complex carbohydrates include whole grains, fruits, vegetables, and legumes⁷.

Choice D reason : Consuming less than 2000 mg of sodium per day is part of a healthy diet, but it is not specifically related to stress reduction. The American Heart Association recommends no more than 2300 mg a day and moving toward an ideal limit of no more than 1500 mg per day for most adults.

A. Increase in basal metabolic rate B. Reduced secretion of growth hormones C. Decrease in body temperature D. Constriction of peripheral blood vessels

Correct Answer is C

Explanation

Choice A reason : Increase in basal metabolic rate.During NREM sleep, particularly in the deeper stages, the basal metabolic rate (BMR) actually decreases. This reduction in BMR is part of the restorative processes that occur during sleep, conserving energy for the body to use in repair and growth.

Choice B reason : Reduced secretion of growth hormones.Contrary to this statement, the secretion of growth hormones increases during NREM sleep, particularly during the deep stages (stage N3). These hormones play a crucial role in tissue growth and muscle repair.

Choice C reason : Decrease in body temperature.During NREM sleep, there is a decrease in body temperature as part of the body's thermoregulation process. This helps to conserve energy and is a characteristic physiological change during this phase of sleep.

Choice D reason : Constriction of peripheral blood vessels.Peripheral blood vessels do not typically constrict during NREM sleep. Instead, there is generally a decrease in sympathetic nervous system activity, which can lead to the dilation of blood vessels and a decrease in blood pressure.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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