Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

Describes the consequences of personal actions

Sees self as always capable of achieving goals

Seeks help from others when needed

Meets own needs without considering the rights of others

Answer and Explanation

The Correct Answer is C

Choice A reason: Describing consequences of actions indicates cognitive awareness and problem-solving skills, but it does not directly reflect a healthy self-concept. Self-concept involves self-perception, esteem, and a balanced view of strengths and limitations. This choice focuses on behavioral outcomes, not internal self-worth, making it an inadequate indicator of the goal.

Choice B reason: Perceiving oneself as always capable of achieving goals suggests overconfidence or grandiosity, which can indicate a maladaptive self-concept, potentially linked to narcissistic traits. A healthy self-concept involves realistic self-assessment, acknowledging both strengths and limitations. This choice reflects an unbalanced view, making it incorrect for the goal of a healthy self-concept.

Choice C reason: Seeking help when needed demonstrates a healthy self-concept, reflecting self-awareness, humility, and confidence in recognizing personal limitations. This aligns with psychological theories of self-esteem, emphasizing balanced self-perception and social interdependence. It indicates emotional maturity and adaptive coping, making this the correct choice for achieving the goal.

Choice D reason: Meeting own needs without regard for others’ rights suggests selfishness or lack of empathy, indicative of a maladaptive self-concept. A healthy self-concept includes respect for social boundaries and reciprocity, which this choice violates. It reflects a self-centered approach, not a balanced or healthy self-perception, making it incorrect.

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Correct Answer is A

Explanation

Choice A reason: A 16-year-old voluntarily admitted for mental health treatment has the legal right to refuse treatment, as voluntary admission implies consent and autonomy. Minors may have limited rights, but voluntary status allows refusal unless overridden by guardianship or legal statutes, making this the correct choice.

Choice B reason: A 20-year-old with court-ordered treatment lacks the legal right to refuse, as a court mandate overrides autonomy due to assessed risk or incapacity. Legal frameworks prioritize compliance in such cases to ensure safety and treatment efficacy, making this choice incorrect.

Choice C reason: A 35-year-old involuntarily admitted client cannot refuse treatment, as involuntary admission indicates a legal determination of danger or incapacity. Mental health laws prioritize intervention over autonomy in these cases to protect the client or others, making this choice incorrect.

Choice D reason: An adult refusing life-threatening treatment may face legal restrictions, as mental health laws can override refusal if the client poses a danger or lacks capacity. This scenario does not clearly grant a legal right to refuse, unlike voluntary admission, making this choice incorrect.

A. My nurse spends time listening to me talk about my problems. That helps me feel like I am not alone B. My nurse told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner C. My nurse explained my treatment plan to me and asked for my ideas about how to make the treatment better D. My nurse always asks me which type of juice I want to help me swallow my medication

Correct Answer is A

Explanation

Choice A reason: Listening to the patient’s problems conveys empathy and presence, key to perceived caring in psychiatric nursing. This fosters a therapeutic alliance, reducing feelings of isolation and enhancing trust, aligning with patient-centered care principles, making this the correct choice for perceived caring.

Choice B reason: Linking medication compliance to discharge may feel coercive, not caring. It focuses on outcomes rather than emotional support, failing to validate the patient’s feelings, which is critical for perceived caring in mental health settings, making this choice incorrect.

Choice C reason: Explaining the treatment plan and seeking input shows collaboration, which is therapeutic but less emotionally focused than listening. While patient-centered, it emphasizes planning over emotional connection, making it less indicative of perceived caring compared to attentive listening.

Choice D reason: Asking about juice preferences shows attention to detail but is task-oriented, not emotionally supportive. Caring is better demonstrated through emotional engagement, like listening, which addresses the patient’s psychological needs more directly, making this choice less relevant.

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Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?

Correct Answer is A

Explanation

Which comment indicates the patient perceived the nurse was caring?

Correct Answer is A

Explanation

Which term best describes a nurse who can examine their own beliefs, values, and cultural practices?

An adult says, "I have no answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.

A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?

A nurse is caring for a patient with bipolar disorder who is in a manic phase and refuses to attend a scheduled group therapy session. Which response by the nurse best promotes therapeutic engagement?

A nurse is working with a patient diagnosed with schizophrenia who is experiencing auditory hallucinations. Which intervention best supports the patient in managing these symptoms?

Applying a bitter substance to the nails for people who tend to bite their nails is a form of which type of therapy?