The nurse is concerned that a client is having a problem with self-concept. Which of the following statements would cause the nurse to have this concern?
1. "I never have any fun."
2. "I am the oldest in the family."
3. "I think I'm pretty much outgoing."
4. "At times I like to be alone."
1
Rationale 1: There are a variety of questions that can be asked to assess a client's self concept. The client's response provides information to the nurse about problems or concerns with this characteristic. Clients who are unable to explain a social life or who do not have any fun may be depressed or out of touch with reality.
Rationale 2: Birth order in the family is not implicated in the client.
Rationale 3: An outgoing client is not at high risk for problems with self-concept.
Rationale 4: Occasional desire to be alone does not indicate a problem with self-concept.
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