Despite experiencing a loss of 35% of body weight, the client reports feeling "fat and overweight.". What is the most appropriate nursing diagnosis for this client?
A) Ineffective coping
B) Body image disturbance
C) Chronic low self-esteem
D) Nutritional deficit
B
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The son of an older patient is concerned about the patient's ongoing forgetfulness and asks the nurse to explain what could be wrong with the patient. How should the nurse respond to the son?
1. "Memory difficulties are hard for family members to deal with." 2. "My parents are the same age as yours, and they can't remember anything." 3. "Forgetfulness is common in older adults. It's nothing you need to worry about." 4. "Memory difficulties can be due to underlying issues including anxiety, chronic pain, or depression."
A nurse is caring for a patient with a recent below-the-knee amputation. What should the nurse recommend to this patient to prevent the loss of calcium and protein?
a. Drink 1 to 2 L of fluid daily. b. Ingest at least four milk products each day. c. Ambulate 30 minutes a day. d. Take vitamin supplements daily.
A primigravida calls Labor and Delivery and tells the nurse that she is 39 weeks pregnant and that over the last 4 or 5 days, she has noticed that although her breathing has become easier, she is having leg cramps, a slight amount of edema in her
lower legs, and an increased amount of vaginal secretions. The nurse tells the client that she has experienced what is commonly called: 1. Quickening. 2. Lightening. 3. Dilation. 4. Braxton Hicks contractions.
During the psychosocial portion of the nursing assessment a school-age child states, "I know I am not as good as them, so I just play by myself at recess every day." Which conclusion by the nurse is accurate?
1. The child has a good sense of self-worth. 2. The child has a poor body image. 3. The child has decreased self-esteem. 4. The child has a self-determined concept.