During an assessment, the nurse notes that a client frequently ...

[NClaborn]

During an assessment, the nurse notes that a client frequently refers to his Native American heritage. The nurse determines that this heritage is a strong part of the client's
 
  1. personal identity.
  2. body image.
  3. role performance.
  4. self-esteem.

Question 2

The adolescent male client who weighs 100 is considering taking some herbal stuff to increase muscle mass and strength. The nurse should interpret this statement as an indication that this client has
 
  1. a strong need for admiration.
  2. serious problems with logical thinking.
  3. incongruence between reality and ideal self.
  4. the need for referral to a psychologist.

[whitcassie]

Answer to Question 1

Correct Answer: 1
Rationale 1: Self-concept consists of personal identity, body image, role performance, and self-esteem. Personal identity consists of name, sex, age, race, ethnic origin or culture, occupation or roles, talents, and other situational characteristics.
Rationale 2: Body image is perception of size, appearance, and functioning of the body.
Rationale 3: Role performance relates to how a person fulfills his or her own expectations of role.
Rationale 4: Self-esteem is a judgment of one's own worth.

Answer to Question 2

Correct Answer: 3
Rationale 1: This cannot be determined by the information provided.
Rationale 2: This cannot be determined by the information provided.
Rationale 3: The nurse can determine that there is incongruence between reality and this client's ideal self.
Rationale 4: This cannot be determined by the information provided.