A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop
The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, "You do it! Can't you see that my legs are broken?" The patient is exhibiting a disturbance in
a. self-concept.
b. self-esteem.
c. body image.
d. personal identity.
B
Illness and trauma can rob the person of perspective and shrinks both the familiar world and the one of possibility, often leading to low self-esteem and feelings of powerlessness, helplessness, and depression. A low self-regard impairs one's ability to adapt. The person may refuse to participate in self-care, exhibit self-destructive behavior, or be too compliant.
You might also like to view...
A patient with attention deficit disorder is admitted to the hospital with type 1 diabetes. Which nursing diagnosis is commonly yet inappropriately used but should be avoided for this type of patient? Assume there are data to support all the diagnoses
1) Deficient Knowledge (disease process) 2) Impaired ability to learn related to fear and anxiety 3) Difficulty learning related to cognitive developmental level 4) Lack of motivation to learn related to feelings of powerlessness
What reason is acceptable for withholding or decreasing pain medication in a client with end-stage cancer who is experiencing severe pain?
A. The client's spouse is worried the client may be becoming addicted to the pain medication. B. The client wants to remain alert during the visit of a friend whom he has not seen in 8 years. C. The client has lost considerable weight and does not want to eat. D. The client is becoming combative at night.
Which nursing diagnosis would be most appropriate for a child with idiopathic thrombocytopenic purpura?
A) Ineffective tissue perfusion related to poor platelet formation B) Risk for altered urinary elimination related to kidney impairment C) Risk for infection related to abnormal immune system D) Ineffective breathing pattern related to decreased white blood count
Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider?
a. Changes in visual field b. Milk leaking from breasts c. Blood glucose 150 mg/dL d. Nausea and projectile vomiting