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Showing 24 questions, Sign in for moreAn 89-year-old client states, “I’m a lost cause. I can’t even stand long enough to cook my own meals anymore.” Which is the most appropriate nursing response?
A client, age 19, is mildly developmentally disabled with an IQ of 8B. The client tells the nurse, “I’m a good helper. You see I can carry these trays because I’m so strong. But I’m not very smart, so I have just learned to help with the things I know how to do.” The client most likely has which of the following?
A client and spouse decide that the spouse will get a job so the client can attend pharmacy school. Their three teenagers, who were involved in the decision, are also getting jobs to buy their own clothes. The client plans to work 12 to 16 hours weekly and states, “I was always an A student, but I may have to settle for Bs now because I don’t want to neglect my family, and I need to work a few hours so that my spouse won’t have to work overtime.” The client’s self-expectations are:
A nurse is assisting a woman who states that she feels incompetent as the mother of a teenage daughter. Which intervention should the nurse take first?
A client has been in the United States only 3 months and has recently suffered the loss of a spouse and job. The client states, “Nothing feels familiar. I don’t know who I am supposed to be here,” and misses home terribly. This data most likely suggests which nursing diagnosis?
A client in a college away from home for the first time says, “Why did I have to be born into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can’t I have long thin legs like everyone else in my class? What a frump I am.” This data most likely suggests which nursing diagnosis?
A client, age 33, is in counseling attempting to deal with a long-repressed history of sexual abuse. The client states, “I guess I should feel satisfied with what I’ve achieved in life, but I’m never content, and nothing I achieve makes me feel good about myself. I hate my father for making me feel like I’m no good. This is an awful way to live.” This data most likely suggests which nursing diagnosis?
A nurse is caring for a client who is severely ill with cancer. Which of the following nursing interventions is least likely to assist the client to maintain a positive sense of self?
A client, age 16, has a nursing diagnosis of Body Image Disturbance related to severe acne. In planning nursing care, which of the following is an appropriate goal for this nursing diagnosis?
A 4½-year-old child required stitches for a laceration on the eyebrow. After the physician explained the procedure and reassured the child that the eye would look the same afterward, the child quietly permitted the procedure and then expressed pride in self. Evaluation of the effect of this healthcare experience is best expressed in which of the following?
A 50-year-old client is recovering from a bilateral mastectomy. She refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the client with her hair combed and makeup applied. Which of the following is the best response from the nurse?
A 30-year-old client diagnosed with major depressive disorder has a nursing diagnosis of Situational Low Self-Esteem related to negative view of self. Which of the following are appropriate interventions by the nurse? Select all that apply
A client who is depressed is crying and verbalizes feelings of low self-esteem and self-worth, such as “I’m such a failure. I can’t do anything right.” What is the nurse’s best response?
A 20-year-old client diagnosed with an eating disorder has a nursing diagnosis of Situational Low Self-Esteem. Which of the following nursing interventions are appropriate to address self-esteem? Select all that apply
A nurse in an outpatient setting is performing an admission assessment on a 77-year-old client who was suddenly widowed 3 weeks ago. During the health history the client tells the nurse that at times she “feels lost and isolated” and says she “does not feel like participating in previous social or hobby activities.” She says she “just doesn’t feel like her usual self.” The nurse needs to understand that which of the following most directly influences the client’s current self-concept?
A nurse is working with an older adult who recently moved to an assisted-living center because of declining physical capabilities and socialization. Which nursing interventions are directed at promoting self-esteem in this patient? Select all that apply
A nurse is caring for a 40-year-old client who was diagnosed with Crohn’s disease several years ago, resulting in numerous hospitalizations each year for the past 3 years. Which of the following behaviors interfere with the developmental tasks of middle adulthood? Select all that apply
A nurse is assessing a client for altered self-concept. Which of the following assessment findings support this nursing diagnosis? Select all that apply
A nurse is assessing a client’s adjustment to role changes brought about by a medical condition such as a stroke. Which of the following are critical assessment questions? Select all that apply
A nurse is caring for an adolescent client who is struggling with peer pressure and states, “I don’t know who I really am.” Which developmental task, according to Erikson, is most relevant to this client’s self-concept?
A nurse is assessing a client’s self-concept. Which of the following dimensions are components of self-concept? Select all that apply
A nurse is assessing a client’s role relationships. Which of the following aspects should the nurse prioritize during assessment?
A nurse is caring for a client who verbalizes feelings of worthlessness and avoids social interaction. Which nursing diagnosis is most appropriate?
A nurse is planning care for a client with altered self-concept. Which intervention should be given highest priority?
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