A nurse is caring for clients on the med-surg unit. Which client may have an increased risk for body-image disturbance?
A client who had a cardiac catheterization.
A client who had an appendectomy.
A client who had a stroke with left-sided hemiplegia.
A client who had shoulder surgery.
The Correct Answer is C
Choice A reason: This is not the client who has an increased risk for body-image disturbance. A cardiac catheterization is a procedure that involves inserting a thin tube into a blood vessel and guiding it to the heart. It is used to diagnose or treat heart problems. It does not cause any visible changes to the body or affect the client's appearance or function.
Choice B reason: This is not the client who has an increased risk for body-image disturbance. An appendectomy is a surgery that involves removing the appendix, which is a small pouch attached to the large intestine. It is used to treat appendicitis, which is an inflammation of the appendix. It does not cause any significant changes to the body or affect the client's appearance or function.
Choice C reason: This is the client who has an increased risk for body-image disturbance. A stroke is a condition that occurs when the blood supply to a part of the brain is interrupted, causing brain cells to die. It can cause various neurological impairments, depending on the location and severity of the damage. Left-sided hemiplegia is a paralysis of the left side of the body, which can affect the client's movement, sensation, speech, and facial expression. It can cause a noticeable change to the body and affect the client's appearance and function.
Choice D reason: This is not the client who has an increased risk for body-image disturbance. Shoulder surgery is a surgery that involves repairing or replacing the structures of the shoulder joint, such as the bones, muscles, tendons, or ligaments. It is used to treat shoulder injuries or disorders, such as fractures, dislocations, arthritis, or rotator cuff tears. It does not cause any major changes to the body or affect the client's appearance or function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not a factor that can have a positive influence on an individual's self-concept. A negative body image is the way that an individual perceives and feels about their physical appearance, structure, or function. It can affect the individual's self-esteem, self-confidence, and self-worth. A negative body image can lead to a poor self-concept.
Choice B reason: This is not a factor that can have a positive influence on an individual's self-concept. Diminished hearing and vision are physical impairments that can affect the individual's ability to communicate, interact, and perform daily activities. They can also affect the individual's self-image, self-efficacy, and self-acceptance. Diminished hearing and vision can contribute to a poor self-concept.
Choice C reason: This is the best answer. Emotional intelligence is the ability of an individual to recognize, understand, and manage their own emotions, as well as the emotions of others. It can affect the individual's self-awareness, self-regulation, self-motivation, social skills, and empathy. Emotional intelligence can enhance a positive self-concept.
Choice D reason: This is not a factor that can have a positive influence on an individual's self-concept. Low self-esteem is the degree to which an individual values and respects themselves. It can affect the individual's confidence, satisfaction, and happiness. Low self-esteem can result in a poor self-concept.
Correct Answer is D
Explanation
Choice A reason: This is not a useful intervention for improving the self-concept of an older adult. Allowing the clothing to remain soiled after spilling may make the older adult feel dirty, embarrassed, or neglected. It may also increase the risk of infection or skin irritation. The nurse should help the older adult to change into clean clothing as soon as possible, and respect their dignity and comfort.
Choice B reason: This is not a useful intervention for improving the self-concept of an older adult. Encouraging them to wear clothes that are bigger so it is easier to put on may make the older adult feel unattractive, insecure, or incompetent. It may also affect their mobility and safety, as the clothes may be too loose or long. The nurse should help the older adult to wear clothes that fit well and suit their preferences and abilities.
Choice C reason: This is not a useful intervention for improving the self-concept of an older adult. Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room, may make the older adult feel lazy, depressed, or isolated. It may also affect their appetite and socialization, as the pajamas may indicate a lack of interest or readiness. The nurse should help the older adult to dress appropriately for the time and place, and encourage them to participate in activities and interactions.
Choice D reason: This is the best answer. Helping them fix their hair and wear properly fitting, clean clothing is a useful intervention for improving the self-concept of an older adult. It may make the older adult feel attractive, confident, and respected. It may also enhance their physical and mental health, as the hair and clothing may reflect their hygiene and mood. The nurse should help the older adult to maintain their personal appearance and style, and support their self-esteem and self-image.
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