A nurse is caring for client who reports they are feeling stressed because they are unable to et 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?
Body Image
Self-esteem
Role performance
Identity
The Correct Answer is C
A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.
B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.
C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.
D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The nurse coats the indwelling urinary catheter with lubricant. This is correct procedure and requires no intervention. Lubricating the catheter reduces friction and discomfort during insertion.
B. The nurse applies the sterile drape prior to inserting the urinary catheter. This is correct procedure and requires no intervention. The sterile drape maintains a sterile field.
C. The nurse separates the client's labia with her dominant hand. The nurse should separate the client's labia with her non-dominant hand, which then remains in place as a "dirty" hand. The dominant hand, which remains sterile, is used to insert the catheter.
D. The nurse provides perineal care prior to inserting the urinary catheter. This is correct procedure and requires no intervention. Perineal care reduces the risk of introducing bacteria into the urinary tract.
Correct Answer is C
Explanation
A. Increased muscle tone of the bowel: Aging generally leads to decreased muscle tone and motility in the bowel, not increased. This option is incorrect.
B. Decreased pH of the stomach: Aging is associated with a decrease in gastric acid production, leading to a higher (less acidic) pH, not a lower (more acidic) pH. This option is incorrect.
C. Decreased intestinal peristalsis: Aging commonly results in decreased intestinal peristalsis, which can lead to constipation and other digestive issues. This option is correct.
D. Increased gastric acid production: Older adults typically experience decreased gastric acid production, not an increase. This option is incorrect.
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