The nurse is caring for a girl 13 years of age, who is admitted ...

[jrubin]

The nurse is caring for a girl 13 years of age, who is admitted after taking some of her mother's sleeping pills. She is withdrawn and declines to eat or engage in conversation, except to say she doesn't like herself.
 
  The nurse is aware that potential causes of poor self-concept at this age can be related to which of the following? Choose all that apply.
 
  A) Inability to accept bodily changes
  B) Identify confusion
  C) Failure to accept role responsibility
  D) Failure to develop meaningful goals
  E) Inability to resolve child versus adult roles

Question 2

A female client, prominent in the local media, has had surgery for a colostomy. The client avoids looking at the colostomy and refuses visitors. Identify the most appropriate nursing diagnosis.
 
  A) Altered self-esteem related to colostomy and poor self-image
  B) Disturbed body image related to colostomy as evidenced by avoidance of colostomy
  C) Fear of rejection by others related to colostomy and altered self-image
  D) Altered role performance related to inability to cope with visitors

[Kedrick2014]

Answer to Question 1

Ans: A, B, E
The adolescent can develop a poor self-concept related to bodily changes, the pull between adult and childhood roles, and identity confusion. The adult can have poor self-concept related to failure to accept role responsibilities, such as parenting or failure to develop meaningful goals, and therefore just drifting through life.

Answer to Question 2

Ans: B
Disturbed body image possesses the clinical cues of behaviors of avoidance, monitoring, or acknowledgement of one's body.