A nurse is trying to strengthen a client's self-concept. What action will be most beneficial to the client?
Encourage a sedentary lifestyle, since the client is comfortable with that.
Use closed-ended questions and statements during the interview.
Encourage the use of effective coping skills.
Avoid discussing the client's fears or anxieties.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
Choice A reason: This is not the least likely factor. The ideal self is the person that the client wants to be or thinks they should be. It reflects the client's goals, aspirations, and values. A healthy self-concept is achieved when the ideal self is congruent with the real self, which is the person that the client actually is.
Choice B reason: This is not the least likely factor. A client's self-esteem is the degree to which the client values and respects themselves. It affects the client's confidence, satisfaction, and happiness. A healthy self-concept is associated with a high self-esteem, which means that the client accepts and appreciates themselves.
Choice C reason: This is not the least likely factor. The self-image of the client is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. A healthy self-concept is related to a positive self-image, which means that the client has a realistic and favorable view of themselves.
Choice D reason: This is the best answer. Feelings of gender dysphoria are the distress and discomfort that some people experience when their gender identity does not match their assigned sex at birth. It is not a factor that influences the self-concept, according to Rogers' theory. However, it may affect the client's self-esteem, self-image, and ideal self, and require professional support and intervention.
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