The nurse suspects that a client is having difficulty with specific self-esteem. Which client statements caused the nurse to have this concern?
1. "I hate my hair."
2. "Life is wonderful!"
3. "My hips are too big."
4. "I wish I had that nose job 2 years ago."
5. "It is awesome that I got that promotion at work."
Correct Answer: 1, 3, 4
Rationale 1: Specific self-esteem is how much one approves of a certain part of oneself. The client hating her hair demonstrates an issue with specific self-esteem.
Rationale 2: Stating that life is wonderful indicates healthy global self-esteem.
Rationale 3: Specific self-esteem is how much one approves of a certain part of oneself. The client stating that her hips are too big demonstrates an issue with specific self-esteem.
Rationale 4: Specific self-esteem is how much one approves of a certain part of oneself. The client wishing that a nose job was done 2 years ago demonstrates an issue with specific self-esteem.
Rationale 5: Being successful at work indicates healthy specific and global self-esteem.
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The nurse counsels two different older adults who are considering cosmetic surgery. Which of the following teaching points is the most appropriate?
A) Encourage both patients to do whatever it takes to look their best. B) Tell them their efforts to avoid the aging process will be frustrating and fruitless. C) Explore their reasons for seeking cosmetic surgery to ensure it is a rational decision. D) Advise them that not all surgeons are skilled in cosmetic surgery.
The nurse records that the patient has a 3+ edema to the right foot, which means that the nurse's thumb depressed the edematous area to a depth of:
1. more than 1 inch. 2. to 1 inch. 3. to inch. 4. less than inch.
Which is an advance directive?
a. A doctor's order b. A "Do Not Resuscitate" order c. A living will d. A Dying Person's Bill of Rights
The nurse is assessing a patient with schizophrenia. Which symptoms should the nurse identify are characteristics of a formal thought disorder? (Select all that apply.)
1. Echolalia 2. Anosognosia 3. Circumstantiality 4. Cognitive constancy 5. Loose associations