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?
Identity
Role performance
Body image
Self-esteem
The Correct Answer is B
Choice A reason : Identity refers to how individuals perceive themselves, including their beliefs, qualities, and expressions. It is the understanding of oneself as a distinct individual. In the context of the client's situation, while stress can impact one's sense of identity, the primary issue described does not directly relate to the client's identity but rather to their ability to fulfill expected roles.
Choice B reason : Role performance stressors arise when individuals feel they cannot meet the expectations associated with their social or work roles. In this case, the client is stressed due to the difficulty in balancing work responsibilities with the demands of caring for an ill family member. This indicates a conflict in role performance, as the client struggles to adequately fulfill the roles of both employee and caregiver.
Choice C reason : Body image pertains to one's perception of the physical self and the feelings associated with this perception. It includes how individuals view their own body and how they believe others perceive it. The client's stress does not stem from concerns about body image but from the pressures of their responsibilities.
Choice D reason : Self-esteem is the value one places on oneself, encompassing feelings of worthiness or unworthiness. It is influenced by various factors, including personal achievements and recognition from others. Although self-esteem can be affected by stress, the scenario provided specifically highlights the client's stress related to role fulfillment, not their self-worth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason : Determining the success of coping strategies is an important part of the nursing process, but it is not the first step when caring for a client experiencing grief. The initial step should be to assess the client's current state, including their grieving process, before evaluating the effectiveness of past coping strategies.
Choice B reason : Establishing whether the client's grieving is healthy or complicated is the first action the nurse should take according to the nursing process. This assessment helps to identify the client's needs and guides the subsequent planning of care. Healthy grieving is a natural response to loss, whereas complicated grief may require more intensive intervention and support.
Choice C reason : Developing client-specific goals and outcomes is a crucial part of the nursing process but should come after the nurse has established a clear understanding of the client's grieving process. Goals and outcomes should be based on the initial assessment and tailored to the client's individual situation.
Choice D reason : Incorporating the treatment into the client's care is part of the implementation phase of the nursing process. This step occurs after the nurse has assessed the client, established goals, and planned interventions. Treatment should be based on a thorough understanding of the client's grieving process.
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