Nokea
A patient who has been in the United States only 3 months has recently suffered the loss of partner and job. They state that nothing feels familiar-"I don't know who I am supposed to be here"-and says "I miss home terribly." For what alteration in self-concept is this patient most at risk?
- A. Disturbed (or Risk for Disturbed) Personal Identity
- B. Disturbed Body Image
- C. Chronic (or Risk for Chronic) Low Self-Esteem or Situational (or Risk for Situational) Low Self-Esteem
- D. Impaired Role Performance
Correct Answer: A
Rationale: An unfamiliar culture, coupled with traumatic life events such as loss of husband and job, result in this patient's total loss of their sense of self, supported by the statement: "I don't know who I am supposed to be here."
You may also like to solve these questions
A young adult businessperson attends counseling, attempting to deal with a history of sexual abuse by their father. "I should feel satisfied with what I've achieved, but nothing I accomplish makes me feel good about myself.... I hate my father for making me feel like I'm no good. This is an awful way to live." What statement by the nurse would be most helpful?
- A. "You've managed to overcome a lot since your childhood."
- B. "Can you identify some positive attributes about yourself."
- C. "Perhaps it's time to accept you're an adult and the abuse is in the past."
- D. "What might make you feel more content? Go after it!"
Correct Answer: B
Rationale: This patient's self-concept disturbance is mainly one of devaluing themselves and thinking that they are no good. The nurse assists the patient in reframing their negative thoughts into positive thoughts by identifying positive attributes.
A nurse is conducting a parent workshop on how to build self-esteem in children. Which teaching points would the nurse include to help parents achieve this goal? Select all that apply.
- A. Reinforce their child's positive qualities.
- B. Overlook occasional negative behavior.
- C. Ignore neutral behavior that is a matter of personal preference.
- D. Listen and "fix things" for their children.
- E. Describe the child's behavior and judge it.
- F. Let their children practice skills and make it safe to fail.
Correct Answer: A,C,F
Rationale: The nurse should include the following teaching points for parents: (1) reinforce their child's positive qualities; (2) address negative qualities constructively; (3) ignore neutral behavior that is a matter of taste, preference, or personal style. Parents should allow children to be challenged or fail, rather than "fix things" for their children; avoid judgmental observations and let their child know what to expect, practice the necessary skills, be patient, and make it safe to fail.
A nurse practicing in a health clinic assesses patient's self-concept during the patient intake. Which of these patients would the nurse identify has risk for problems related to self-concept?
- A. Older adult scheduled for a hysterectomy next week
- B. Young adult pastor whose vocal cords were paralyzed after a surgical procedure
- C. Young accountant who survives a heart attack and near-death experience
- D. Model who just learned that they have breast cancer
- E. Adolescent recovering from a spinal cord injury who will be wheelchair "mobile"
Correct Answer: B,C,D,E
Rationale: Based on the data, those who are at risk for negative self-concept include the pastor who will face challenges without his voice, the survivor of the near-death experience, and the model, whose work and livelihood depends on their physical appearance. The older adult would be least likely to experience body image or role performance disturbance because they are beyond childbearing years, and the surgery should not impair their functional ability.
A school nurse is meeting with the parent of a child who stated the child's other parent has been given a lengthy prison sentence. Which action by the nurse would be most helpful to mitigate an adverse child experience?
- A. Assessing the student's grades and ability to complete class work
- B. Suggesting a mentoring program for children of incarcerated parents
- C. Asking the parent to tell you what happened
- D. Suggesting the parent help the child identify their strengths
Correct Answer: B
Rationale: Factors that can mitigate adverse child experiences include strengthening economic support to families; promoting social norms that protect against violence and adversity; and ensuring a strong start for children including support groups, mentoring, and teaching needed skills.
A nurse is counseling a couple who have decided that the wife will provide financial support for the family while the husband attends pharmacy school. The husband plans to work 16 hours weekly, while attending school and states, "I was always an A student, but I might have to settle for Bs now because I don't want to neglect my family." How would the nurse document the husband's self-expectations?
- A. Realistic and positively motivating their development
- B. Unrealistic and negatively motivating their development
- C. Unrealistic but positively motivating their development
- D. Realistic but negatively motivating their development
Correct Answer: A
Rationale: The patient's self-expectations are realistic, given their multiple commitments, and seem to be positively motivating their self-development.