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.
3
Explanation:
1. This child would not have a good sense of self-worth.
2. There are no data in this scenario to indicate that the child has a problem with body image, since there is no information related to why other children are teasing the child.
3. The child's statement reveals no interaction with other children during play periods; therefore, the child's self-esteem is low.
4. There are no data in this scenario to indicate whether the child has a self-determined concept.
You might also like to view...
When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:
a. Smooth glossy dorsal surface. b. Thin white coating over the tongue. c. Raised papillae on the dorsal surface. d. Visible venous patterns on the ventral surface.
The community nurse visits the home of a young child who is home from school because of sudden onset of nausea, vomiting, and lethargy
The nurse suspects acute renal failure. Which clinical manifestations support the nurse's suspicions? Select all that apply. A) Elevated blood pressure B) Postural hypotension C) Wheezing D) Edema E) Hematuria
The nurse is caring for a patient at risk for an addisonian crisis. For what associated signs and symptoms should the nurse monitor the patient? Select all that apply
A) Epistaxis B) Pallor C) Rapid respiratory rate D) Bounding pulse E) Hypotension
The stratum corneum, the outer layer of the epidermis, provides the most effective barrier to prevent penetration of environmental factors
The nurse working in an emergency room is aware that an example of a penetration by an environmental factor is caused by: A) Insect bites B) Dehydration C) Thermoregulation D) Perspiration