The adolescent male client who weighs 100 is considering taking “some

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.

ANSWER

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.