The nurse is discussing the importance of developing a healthy self-concept with the parents of a client. What stage of life is most critical for this development?
Infancy
Adolescence
Middle adulthood
Late adulthood
The Correct Answer is B
Choice A reason: This is not the most critical stage for developing a healthy self-concept. Infancy is the stage of life from birth to 18 months, where the main psychosocial task is to develop trust versus mistrust. The infant's self-concept is not fully formed yet, but depends on the quality of the caregiver-infant relationship.
Choice B reason: This is the best answer. Adolescence is the stage of life from 12 to 18 years, where the main psychosocial task is to develop identity versus role confusion. The adolescent's self-concept is challenged by physical, cognitive, emotional, and social changes. The adolescent needs to explore and integrate different aspects of their self, such as their values, beliefs, goals, and roles. A healthy self-concept will help the adolescent to achieve a sense of identity, autonomy, and competence.
Choice C reason: This is not the most critical stage for developing a healthy self-concept. Middle adulthood is the stage of life from 40 to 65 years, where the main psychosocial task is to develop generativity versus stagnation. The middle adult's self-concept is influenced by their achievements, responsibilities, and relationships. The middle adult needs to find meaning and purpose in their life by contributing to society and the next generation. A healthy self-concept will help the middle adult to cope with the challenges of aging, work, and family.
Choice D reason: This is not the most critical stage for developing a healthy self-concept. Late adulthood is the stage of life from 65 years and older, where the main psychosocial task is to develop integrity versus despair. The late adult's self-concept is based on their life review and evaluation. The late adult needs to accept their past and present, and face their mortality. A healthy self-concept will help the late adult to achieve a sense of wisdom, dignity, and satisfaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not the statement that the nurse will prioritize. The client may want the instructions written out for convenience or clarity, but it does not indicate their level of self-efficacy.
Choice B reason: This is not the statement that the nurse will prioritize. The client may not have changed the dressing by themselves yet, but it does not mean that they cannot do it. The client may just need more practice or guidance.
Choice C reason: This is not the statement that the nurse will prioritize. The client may want their son to help them for emotional or physical support, but it does not reflect their self-efficacy.
Choice D reason: This is the statement that the nurse will prioritize. The client expresses a negative belief about their ability to perform the dressing change. This indicates that the client has low self-efficacy, which is the confidence in one's ability to accomplish a specific task. The nurse should address this statement by providing positive feedback, encouragement, and reassurance to the client. The nurse should also demonstrate the steps of the dressing change and allow the client to practice under supervision.
Correct Answer is D
Explanation
Choice A reason: This is not a concerning finding for the nurse. Absence of tears when the infant cries is normal and expected in the first few months of life. The tear ducts and glands are not fully developed yet, and the infant does not produce enough tears to moisten the eyes or overflow the eyelids. The nurse should monitor the infant's hydration and eye health, but should not be alarmed by the absence of tears.
Choice B reason: This is not a concerning finding for the nurse. Presence of vernix caseosa at delivery is normal and expected in newborns, especially those born before 40 weeks of gestation. Vernix caseosa is a white, cheesy substance that covers the skin of the fetus in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. The nurse should gently wipe off the excess vernix caseosa, but should not try to remove it completely.
Choice C reason: This is not a concerning finding for the nurse. Presence of anterior and posterior fontanels is normal and expected in infants. Fontanels are soft spots on the skull where the bones have not yet fused together. They allow the skull to be flexible and accommodate the growing brain. The nurse should palpate the fontanels gently and assess their size, shape, and tension, but should not be worried by their presence.
Choice D reason: This is the concerning finding for the nurse. Absence of the rooting reflex is abnormal and unexpected in infants. The rooting reflex is an involuntary movement or response that the infant makes when the cheek or mouth is touched. The infant turns the head and opens the mouth, seeking the source of stimulation. The rooting reflex is essential for breastfeeding and feeding in general. The nurse should assess the infant's neurological status and consult with the physician if the rooting reflex is absent.
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