As a nurse caring for a patient with a colostomy that resulted from the treatment of a benign tumor of the bowel. The most appropriate classification of this self-concept component is which of the following?

a. Role performance stressor
b. Sexuality stressor
c. Identity stressor
d. Body image stressor


D
Changes in the appearance or function of a body part require an adjustment in body image. An individual's perception of the change and the relative importance placed on body image in the individual's self-concept will affect the significance of the loss or change. Throughout life a person undergoes many role changes. Normal changes associated with maturation result in changes in role performance. Sexuality stressors are issues related to sexuality on a regular basis. Identity stressors affect an individual's identity, but identity is particularly vulnerable during adolescence.

Nursing

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Which of the following is an example of immunocompetence?

a. A child that is immune to measles because of an inoculation b. A person who has seasonal allergies every fall c. When the symptoms of a common cold disappear in 1 day d. A neonate having a natural immunity from maternal antibodies

Nursing

Which of the following is most indicative of pain in a client who is confused? (Select all that apply.)

A. Behavior change B. Body language C. Facial grimace D. Restlessness

Nursing

The 46-year-old patient is semiconscious and is in need of emergency surgery to relieve a subdural hematoma. The nurse knows that:

A) Emergency situations do not require prior consent B) He or she must obtain written consent for invasive procedures C) This is not a function of the LPN/LVN; the nurse should call his or her supervisor D) The patient must be alert in order to obtain informed consent

Nursing

A resident just finished his daily exercise program. You need to measure his blood pressure. How long does he need to rest before the measurement?

a. 5 minutes b. 5 to 10 minutes c. 10 to 20 minutes d. 20 to 30 minutes

Nursing