A nurse is caring for a client with a new colostomy. Which of the following statements indicates an issue with self-concept?
"I had a hard time connecting the appliance, but my sister helped me."
"I have a distant relative who has one. I can talk with them about this."
"It might take a while to get this right on the first try."
"I am never going to be able to do this."
The Correct Answer is D
Choice A reason: This is not a statement that indicates an issue with self-concept. The client acknowledges their difficulty with the colostomy appliance, but also shows that they have family support and assistance. This suggests that the client has a positive self-concept and coping skills.
Choice B reason: This is not a statement that indicates an issue with self-concept. The client expresses their willingness to communicate with their relative who has a colostomy. This indicates that the client has a positive self-concept and social support.
Choice C reason: This is not a statement that indicates an issue with self-concept. The client recognizes that learning to manage the colostomy may take some time and practice. This implies that the client has a positive self-concept and realistic expectations.
Choice D reason: This is the statement that indicates an issue with self-concept. The client expresses a negative and hopeless attitude towards the colostomy. This suggests that the client has a poor self-concept and low self-efficacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not an example of cephalocaudal growth. Growth progressing from inward to outward is an example of proximodistal growth, which is the pattern of growth that occurs from the center of the body to the extremities. For example, infants can control their trunk muscles before their fingers.
Choice B reason: This is the best answer. Growth progressing from the top downward is an example of cephalocaudal growth, which is the pattern of growth that occurs from the head to the feet. For example, infants can lift their head before they can walk.
Choice C reason: This is not an example of cephalocaudal growth. The simple to complex principle is the principle of development that states that skills and abilities become more sophisticated and refined over time. For example, infants can babble before they can talk.
Choice D reason: This is not an example of cephalocaudal growth. The general to specific principle is the principle of development that states that skills and abilities become more differentiated and specialized over time. For example, infants can grasp objects before they can write.
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Eating disorders are more likely to develop during adolescence and young adulthood, which are the ages 12 to 20. This is because this is a period of rapid physical, mental, and emotional changes, as well as social and academic pressures. Adolescents and young adults may experience low self-esteem, body dissatisfaction, peer influence, or family conflict, which can contribute to the development of eating disorders.
Choice B reason: This is not the correct answer. Eating disorders can occur at any age, but they are less common in adults than in adolescents and young adults. Adults who develop eating disorders may have a history of eating disorders in their youth, or they may face new stressors or transitions that trigger their eating disorder. However, the risk for eating disorders is lower in adults than in adolescents and young adults.
Choice C reason: This is not the correct answer. Eating disorders are rare in middle-aged and older adults, which are the ages 35 to 65. This is because this is a period of stability and maturity, as well as acceptance and adaptation. Middle-aged and older adults may have more coping skills, resilience, and support, which can protect them from developing eating disorders.
Choice D reason: This is not the correct answer. Eating disorders are very rare in older adults, which are the ages 65 and older. This is because this is a period of decline and loss, as well as wisdom and dignity. Older adults may have less concern about their appearance, weight, or food, which can prevent them from developing eating disorders.
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