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Self-concept may vary according to a variety of conditions affecting the individual. The nurse recognizes that even appropriate nursing interventions are least likely to alter which of the following?
1) Resources
2) Self-knowledge
3) Core self-concept
4) Social self
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Social-self refers to the image of a person as perceived by the members of the society. It is completely dependent on the social viewpoint and hence cannot be altered by the person. The resources of the client can be increased or decreased by designing an appropriate nursing care plan.
Self-knowledge can also be enhanced by implementing appropriate nursing care plans. The core self-concept can be broadened by an appropriate nursing care plan as these are under the client's control.
Hence, the options 1, 2 and 3 are incorrect.
Social-self depicts the social image of one's self-based on the viewpoints of others members of the society. This cannot be altered by nursing care plan as this is not in the control of the client.
Hence, the correct answer is option
.
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Craig is a 20-year-oid male college student who was involved in an automobile crash 3 days ago. suffering a traumatic amputation of his left lower leg. Craig's mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig's condition because Craig was captain of his college basketball team and his aspirations of becoming a professional athlete. Craig's condition is stable and he is being placed Into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.
What factors are likely to affect Craig's adaptation to his amputation and rehabilitation?
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Self-concept greatly impacts self-esteem, which is defined as one's judgment on his own self. Positive self-concept and self-esteem are essential for a healthy physical and mental state. Self-concept refers to the mental and the physical image of oneself. Self-concept involves physical appearance, moral values and social and religious beliefs that all together influence individual behavior.
According to the problem, patient Craig is a 20-years-old college student who has been subjected to amputation of the left lower leg due to an automobile accident. Despite being an outgoing person, Craig has become non-communicative and refuses to look at the leg while dressings are being changed and to discuss his rehabilitation program.
The following factors are most likely to affect Craig's adaptation to amputation and rehabilitation:
1. The student status : Craig is a college student, which would require attending the college on a regular basis. This may interfere with Craig's ability to get accustomed to his altered lifestyle.
2. Regular public exposure : Regular public exposure would interfere with Craig's rehabilitation as the public exposure will potentially affect Craig's self-esteem.
3. Loss of physical activity : Craig, being a basketball player and an aspirant for athletics, would face serious complications when sports and other physical activities will be completely eliminated or hugely reduced from his altered lifestyle. This would make the adaptation as well as rehabilitation difficult.
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Craig is a 20-year-oid male college student who was involved in an automobile crash 3 days ago. suffering a traumatic amputation of his left lower leg. Craig's mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig's condition because Craig was captain of his college basketball team and his aspirations of becoming a professional athlete. Craig's condition is stable and he is being placed Into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.
What other groups of clients, in addition to those with amputations, are at risk for the development of altered self-esteem or body image?
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Positive self-concept and self-esteem are essential for a healthy physical and mental state.
Self-concept refers to the mental and the physical image of oneself. It involves physical appearance, moral values and social and religious beliefs that all together influence individual behavior.
In the given case study, Craig is a twenty-years-old college student who has been subjected to amputation of the left lower leg due to an automobile accident. Despite being an outgoing person, Craig has become non-communicative and refuses to look at the leg while dressings are being changed and to discuss his rehabilitation program.
The following other groups of clients are also subjected to lowered self-esteem:
1. Victims of mentally and or physically abusive relationships.
2. Clients subjected to altered parenting role due to loss of the spouse.
3. Clients subjected to loss of the spouse on whom the client was majorly dependent emotionally, physically and financially.
4. Clients suffering from ineffective role performance due to professional duties or illness or disability.
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When asked to describe herself, a client newly diagnosed with a chronic illness describes only those roles involving others (e.g., wife, mother, medical assistant) and no personal hobbies or interests. What should the nurse include when planning her care?
1) How her treatment will affect her ability to perform those roles
2) How to set goals for her to develop personal hobbies or interests
3) That the family must be present while the treatment plan is being developed
4) That she will need psychological counseling for role performance in addition to her medical treatment
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Sally is 5'7", weighs 105 lb, and believes that she is fat. Which of the following most represents this perception?
1) Altered body image
2) Altered personal identity
3) Excessive self-expectation
4) Altered core self-concept
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During an annual performance review, which statement by the nurse indicates the area of self-awareness?
1) "I rarely make any medication errors."
2) "I am willing to mentor new nurses."
3) "My client satisfaction reports agree thar I am friendly and helpful."
4) "All of my clients have recovered quickly from their health problems.''
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Craig is a 20-year-oid male college student who was involved in an automobile crash 3 days ago. suffering a traumatic amputation of his left lower leg. Craig's mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig's condition because Craig was captain of his college basketball team and his aspirations of becoming a professional athlete. Craig's condition is stable and he is being placed Into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.
How would your interventions differ for a client with the same condition who was 70 years old?
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An 89-year-old client states, "I'm a lost cause. I can't even stand long enough to cook my own meals anymore." Which is the most appropriate response?
1) "That must be difficult. What things are you still able to do?"
2) "Well, that is to be expected at your age."
3) "Do you have someone else who can cook for you?"
4) "Are you a good cook?"
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You are caring for a client who has a nursing diagnosis of Chronic Low Self-Esteem. Which behaviors are consistent with this diagnosis? Select all that apply.
1) Confronts authority
2) Verbalizes own weaknesses
3) Is unable to perform consistent with his/her family role (e.g., mother, father)
4) Sets unrealistically high goals
5) Has difficulty making positive observations about self
6) Has difficulty sleeping
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An appropriate desired outcome for clients with Situational Low Self-Esteem includes which of the following?
1) Restored self-esteem
2) Consistently verbalizes self-acceptance
3) Teaches adaptive skills
4) Describes preoccupation with altered self
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Which interventions are appropriate for a client with low/poor self-concept? Select all that apply.
1) Encourage the client to compare self with others.
2) Suggest the client not say negative things about self.
3) Suggest the client say positive things about self.
4) Recommend the client avoid situations of having to care for others.
5) Communicate very low-level expectations of the client's behavior.
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Craig is a 20-year-oid male college student who was involved in an automobile crash 3 days ago. suffering a traumatic amputation of his left lower leg. Craig's mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig's condition because Craig was captain of his college basketball team and his aspirations of becoming a professional athlete. Craig's condition is stable and he is being placed Into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.
Given Craig's age, speculate about whether Craig's self-concept is at risk for being adversely affected by his disability.
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An adult who has failed to satisfactorily resolve the developmental task of adolescence-identity versus confusion-is most likely to show which behavior?
1) Asserts independence
2) Is unable to express personal desires
3) Has difficulty working as a member of a team
4) Goes along with the crowd in all activities
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Students juggling the responsibilities of work, school, and family are most likely to experience which of the following?
1) Role ambiguity
2) Role strain
3) Role conflict
4) Role enhancement
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Craig is a 20-year-oid male college student who was involved in an automobile crash 3 days ago. suffering a traumatic amputation of his left lower leg. Craig's mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig's condition because Craig was captain of his college basketball team and his aspirations of becoming a professional athlete. Craig's condition is stable and he is being placed Into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.
What data suggest that Craig's self-esteem is. or is at risk for being, negatively affected by his amputation?
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