The nurse is assessing his client's self-concept. The client is status post–myocardial infarction and is due to be discharged tomorrow. Which of the following focuses will give the nurse the most information about the client's self-concept?
Choose all that apply.
A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation
Ans: A, C, D
The nurse assessing self-concept focuses on the client's personal identity, body image, self-esteem, and role performance. Sexual orientation and gender identity do not always provide information about self-concept.
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A client asks the nurse what a botanical or herb is. Which reply by the nurse is most appropriate?
1. "Any plant that is used to supplement diet only." 2. "Any plant that can be made into a tea." 3. "Any plant product that does not cause a skin reaction." 4. "Any plant product with useful application."
Which statement made by a parent during a well-child visit would cause the nurse to suspect the child has cerebral palsy?
1. "My 6-month-old baby is rolling from back to prone now." 2. "My 3-month-old seems to have floppy muscle tone." 3. "My 8-month-old can sit without support." 4. "My 10-month-old is not walking."
George is a 62-year-old man whose 87-year-old father died a week ago. The hospice nurse is making a follow-up visit to determine how George is handling his father's death
Which of the following statements made by George indicates to the hospice nurse that George is in the acute mourning stage of bereavement? A) "I keep thinking about my father; I have trouble believing he's dead. I feel guilty because I didn't go to the nursing home to visit him last week!" B) "I've been grieving my father; losing him is a tremendous loss, but I have to get on with my life." C) "My father was a saint. I am so angry at God for taking him away! I'm crying all the time; I haven't been able to work for days." D) "I'm going to spend the weekend with my children; they understand what I've been going through, and I can relax around them."
A 28-year-old woman at 16 weeks' gestation being screened for ABO incompatibility learns that her blood contains anti-A antibodies. What should the nurse explain about this finding?
1. "You may have contracted anti-A antibodies as a result of a viral infection." 2. "It's most likely that you contracted anti-A antibodies through sexual activity." 3. "Anti-A antibodies are inherited; usually, they are genetically passed down from father to daughter." 4. "Anti-A antibodies occur naturally, as a result of exposure to foods and different infections."