The nurse considers psychosocial factors impacting a client. What factor is the nurse most concerned about? Select the best answer.
Poor nutritional habits
A lack of exercise
A low self-esteem
The need for long-term antibiotics
The Correct Answer is C
Choice A reason: This is not the most concerning factor. Poor nutritional habits may affect the client's physical health, but they are not directly related to the client's psychosocial well-being. The nurse can educate the client on the benefits of a balanced diet and provide nutritional counseling if needed.
Choice B reason: This is not the most concerning factor. A lack of exercise may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can encourage the client to engage in physical activity that suits their preferences and abilities, and provide exercise guidance if needed.
Choice C reason: This is the best answer. A low self-esteem may affect the client's mental and emotional health, and it is directly related to the client's psychosocial well-being. The nurse should assess the client's self-esteem and identify the factors that contribute to it, such as their self-image, self-talk, and self-efficacy. The nurse should also provide positive feedback, support, and empowerment to the client, and refer them to counseling or therapy if needed.
Choice D reason: This is not the most concerning factor. The need for long-term antibiotics may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can educate the client on the indications, side effects, and precautions of the antibiotics, and monitor the client's response and compliance to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not a finding that the nurse will anticipate. Closed fontanels are the absence of soft spots on the skull where the bones have not yet fused together. They are abnormal and unexpected in newborn infants, as they indicate a premature closure of the skull bones, which can affect the brain development and growth. The nurse should assess the presence, size, shape, and tension of the fontanels, and report any abnormalities to the physician.
Choice B reason: This is the best answer. Lanugo is a fine, soft hair that covers the body of the fetus in the womb. It helps to keep the fetus warm and hold the vernix caseosa on the skin. Lanugo is normal and expected in newborn infants, especially those born before 40 weeks of gestation. The nurse should observe the amount and distribution of lanugo, and expect it to be shed within the first few weeks of life.
Choice C reason: This is not a finding that the nurse will anticipate. Fine motor control is the ability to coordinate the movements of the small muscles of the hands and fingers. It is not well developed in newborn infants, as they have not yet acquired the skills and coordination to manipulate objects or perform complex tasks. The nurse should assess the grasp reflex and the spontaneous movements of the hands and fingers, and expect them to improve over time.
Choice D reason: This is not a finding that the nurse will anticipate. Six to eight teeth are the number of teeth that usually erupt in infants between 6 and 12 months of age. They are not present in newborn infants, as they have not yet developed the teeth buds or the ability to chew solid foods. The nurse should inspect the gums and the oral cavity, and educate the parents on the oral hygiene and feeding practices for infants.
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.
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