Author Question: The client has just learned that his motorcycle accident has resulted in his left leg being ... (Read 24 times)

student77 · **on:** Jul 23, 2018

The client has just learned that his motorcycle accident has resulted in his left leg being ampu-tated. When helping this client form goals and strategies for realistic goals, the nurse needs to assess the client's:

1. Ideal and perceived self-concept
2. Intellectual and spiritual strengths
3. Involvement with significant others
4. Interests and past accomplishments

Question 2

A client is manifesting behaviors that are consistent with a negative self-concept. The nurse that is working with him has observed that the client maintains:

1. Frequent eye contact
2. Independence in self-care
3. A passive personal attitude
4. An interest in the surroundings

macybarnes · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
What individuals think and how they feel about themselves affects the way in which they care for themselves. A physical change in the body, such as an amputation, can lead to an altered body image affecting identity and self-esteem. The nurse should assess the client's ideal and perceived self-concept in order to help the client establish realistic goals and implementation strategies. Intellectual and spiritual strengths may be important when determining a client's abil-ity to cope. However, when developing goals and implementation strategies, the process is going to begin with the client's perception of self-concept, because this will greatly impact his response to the amputation. When assessing coping behaviors of an individual, involvement with signifi-cant others may be an indication of available resources as well as a source of strength for a client. Assessing a client's interests and past accomplishments may provide information regarding a cli-ent's identity. Identity is only one component of self-concept. The nurse needs to determine the client's ideal and perceived self-concept in order to get the big picture as this will greatly im-pact his response to the amputation.

Answer to Question 2

ANS: 3
A passive attitude is a behavioral characteristic suggestive of a negative self-concept. Avoidance of eye contact would be a behavior suggestive of a negative self-concept. Being excessively de-pendent is characteristic of a negative self-concept. A lack of interest in what is happening in one's surroundings is characteristic of a negative self-concept.