A nurse is caring for a client with a new colostomy. Which of the following statements indicates an issue with self-concept?

Choice A reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a crush or a rejection, which are common and normal feelings for their age. The nurse should listen and empathize with the adolescent, but also reassure them that there are other people who like and care for them, and that their self-worth is not dependent on one person's opinion.

Choice B reason: This is the statement that the nurse should prioritize. The adolescent may be suffering from an eating disorder or a body image disturbance, which are serious and potentially life-threatening conditions. The nurse should assess the adolescent's weight, height, vital signs, and nutritional intake, and refer them to a specialist if needed. The nurse should also educate the adolescent on the dangers of skipping meals, the benefits of a balanced diet, and the importance of self-acceptance and self-esteem.

Choice C reason: This is not the statement that the nurse should prioritize. The adolescent may be facing a peer pressure or a bullying situation, which are common and challenging issues for their age. The nurse should support and encourage the adolescent to pursue their interests and hobbies, and to stand up for themselves and others. The nurse should also help the adolescent to develop coping skills, such as assertiveness, problem-solving, and stress management.

Choice D reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a role conflict or a career dilemma, which are common and normal dilemmas for their age. The nurse should respect and acknowledge the adolescent's preferences and aspirations, and help them to explore their options and potentials. The nurse should also facilitate a communication and understanding between the adolescent and their parent, and help them to reach a compromise or a solution.

Choice A reason: This is a harmful action that will not strengthen the client's self-concept. A sedentary lifestyle may lead to physical and mental health problems, such as obesity, diabetes, depression, and low self-esteem. The nurse should encourage the client to adopt a healthy lifestyle that includes physical activity, nutrition, and rest.

Choice B reason: This is an ineffective action that will not strengthen the client's self-concept. Closed-ended questions and statements are those that can be answered with a yes or no, or a short response. They do not allow the client to express their thoughts, feelings, and opinions. The nurse should use open-ended questions and statements that invite the client to elaborate and share their perspective.

Choice C reason: This is the best answer. Effective coping skills are those that help the client to manage stress, emotions, and challenges in a positive and adaptive way. They include relaxation techniques, problem-solving strategies, social support, and positive self-talk. The nurse should encourage the client to use these skills to enhance their self-concept and well-being.

Choice D reason: This is a counterproductive action that will not strengthen the client's self-concept. Avoiding discussing the client's fears or anxieties may make them feel isolated, misunderstood, or ashamed. The nurse should create a safe and supportive environment where the client can openly discuss their concerns and receive empathy and guidance.