Which of the following interventions may be useful when trying to improve the self-concept of an older adult?
Allowing the clothing to remain soiled after spilling.
Encouraging them to wear clothes that are bigger so it is easier to put on.
Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room.
Helping them fix their hair and wear properly fitting, clean clothing.
The Correct Answer is D
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.
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 C
Explanation
Choice A reason: This is a partial answer. It is helpful in understanding client actions, but it is not the main reason for nurses to understand growth and developmental stages.
Choice B reason: This is a vague answer. It provides important background information, but it does not explain how that information is used in nursing practice.
Choice C reason: This is the best answer. It helps in planning interventions that will result in best outcomes, because it allows the nurse to tailor the care to the client's specific needs, abilities, and expectations based on their stage of growth and development.
Choice D reason: This is a weak answer. It is important to teach the client about what stage they are in, but it is not the primary reason for nurses to understand growth and developmental stages. Teaching the client about their stage of growth and development may be one of the interventions that the nurse plans, but it is not the goal of understanding growth and developmental stages.
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