Which of the following observations will the nurse note when considering the self-concept of a client? Select all that apply.
Surgical history of family members
Posture of the client
Client's demeanor
Grooming of the client
Maintaining of eye contact
Correct Answer : B,C,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the correct answer. Older adults are the age group from 65 years and older. They are more likely to experience alterations in health due to aging, chronic diseases, cognitive decline, or social isolation. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more common in younger age groups.
Choice B reason: This is the best answer. Young adults are the age group from 18 to 39 years old. They are more likely to engage in risk-taking behaviors, such as smoking, drinking, or using drugs, which can lead to substance use disorders. Substance use disorders can affect the physical, mental, and social health of young adults, and increase the risk of accidents, injuries, infections, or overdoses. Young adults are also more likely to have poor oral hygiene, which can cause periodontal disease. Periodontal disease is an inflammation and infection of the gums and teeth, which can lead to tooth loss, pain, or bad breath. Young adults are also more likely to have infertility, which is the inability to conceive or carry a pregnancy to term. Infertility can be caused by various factors, such as hormonal imbalances, genetic disorders, infections, or environmental exposures. Infertility can affect the emotional, psychological, and relational health of young adults, and cause stress, depression, or low self-esteem.
Choice C reason: This is not the correct answer. Adolescents are the age group from 12 to 18 years old. They are more likely to experience alterations in health due to puberty, growth spurts, or hormonal changes. They may also face challenges such as peer pressure, bullying, or academic stress. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more prevalent in older age groups.
Choice D reason: This is not the correct answer. Middle adults are the age group from 40 to 64 years old. They are more likely to experience alterations in health due to menopause, andropause, or age-related changes. They may also face issues such as work-life balance, career transitions, or family responsibilities. However, they are less likely to have substance use disorders, periodontal disease, or infertility, which are more common in younger age groups.
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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