The nurse recognizes that a healthy self-concept is influenced by several factors, according to Rogers' theory. Which factor is least likely to contribute to a healthy self-concept?

Choice A reason: This is not the correct answer. Autonomy vs. Shame and Doubt is the psychosocial developmental stage that occurs in toddlers, who are between 1 and 3 years old. It involves the development of independence and self-control, as well as the awareness of personal limitations and expectations. The nurse should encourage parents of toddlers to provide them with choices, boundaries, and praise, and to avoid overprotection, criticism, or ridicule.

Choice B reason: This is not the correct answer. Initiative vs. Guilt is the psychosocial developmental stage that occurs in preschoolers, who are between 3 and 5 years old. It involves the development of initiative and creativity, as well as the sense of responsibility and morality. The nurse should encourage parents of preschoolers to provide them with opportunities, guidance, and feedback, and to avoid discouragement, punishment, or interference.

Choice C reason: This is not the correct answer. Intimacy vs. Isolation is the psychosocial developmental stage that occurs in young adults, who are between 18 and 39 years old. It involves the development of intimacy and commitment, as well as the ability to form and maintain close relationships. The nurse should encourage young adults to explore their identity, values, and goals, and to seek and offer support, trust, and love.

Choice D reason: This is the best answer. Trust vs. Mistrust is the psychosocial developmental stage that occurs in infants, who are between birth and 1 year old. It involves the development of trust and security, as well as the attachment and bonding with the caregivers. The nurse should encourage parents of infants to feed the baby when hungry and comfort the baby when crying, as well as to provide them with consistent, responsive, and loving care.

Choice A reason: This is not an observation that the nurse will note when considering the self-concept of a client. The surgical history of family members is not directly related to the client's self-concept, but rather to their genetic or environmental factors. The nurse may ask the client about their family history, but it is not a visual cue that reflects the client's self-perception.

Choice B reason: This is an observation that the nurse will note when considering the self-concept of a client. The posture of the client is a nonverbal communication that indicates the client's attitude, mood, and confidence. The nurse can observe if the client has a straight or slouched posture, and if they lean forward or backward. A straight and forward-leaning posture may suggest a positive and assertive self-concept, while a slouched and backward-leaning posture may suggest a negative and passive self-concept.

Choice C reason: This is an observation that the nurse will note when considering the self-concept of a client. The client's demeanor is the way that the client behaves and expresses themselves. The nurse can observe if the client is calm or agitated, cheerful or gloomy, friendly or hostile, and cooperative or resistant. A calm, cheerful, friendly, and cooperative demeanor may indicate a healthy and stable self-concept, while an agitated, gloomy, hostile, and resistant demeanor may indicate a poor and unstable self-concept.

Choice D reason: This is an observation that the nurse will note when considering the self-concept of a client. The grooming of the client is the way that the client takes care of their personal hygiene and appearance. The nurse can observe if the client is clean or dirty, neat or messy, and appropriately or inappropriately dressed. A clean, neat, and appropriate grooming may reflect a high and positive self-concept, while a dirty, messy, and inappropriate grooming may reflect a low and negative self-concept.

Choice E reason: This is an observation that the nurse will note when considering the self-concept of a client. The maintaining of eye contact is a nonverbal communication that shows the client's level of interest, attention, and respect. The nurse can observe if the client maintains, avoids, or shifts eye contact, and if they do so consistently or inconsistently. A consistent and moderate eye contact may indicate a strong and secure self-concept, while an inconsistent or extreme eye contact may indicate a weak and insecure self-concept.