Exam 40: Self-Concept

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The newly graduated nurse is working with a mentor who has been a nurse for 25 years. The mentor tells the new graduate, "I learn something new about nursing every day". What does this indicate about the mentor's self-awareness?

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B

The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an examination and has been barred from participating in a school trip as a consequence of that action. They ask for the nurse's professional opinion about the suitability of the punishment. Which answer best supports self-esteem development in this adolescent?

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B

The nurse and client had set the following expected outcome: "At the next clinic visit, the client will report participation in three activities to increase self-esteem". At today's visit, the client is unable to meet the stated outcome. What should be the nurse's next action?

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A

The nurse is developing a tool to document self-concept development among chronically ill children. Included in this tool should be areas to document development in personal identity, body image, role performance/relationships, and ________.

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The adolescent male client who weighs 45 kilograms tells the nurse that he is considering taking "some herbal stuff" to increase his muscle mass and make him stronger. The nurse should interpret this statement as an indication that this client has which of the following?

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A nurse is wanting to improve in "emotional intelligence" to improve the care provided. The nurse needs to focus on all of the following except:

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Which statement, made by a new mother, would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?

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The local playgroup encourages children to dress up in outlandish outfits. This activity is designed to:

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The nurse is assisting a client in setting goals as a strategy to reinforce strengths. What intervention should the nurse employ?

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Nurses need to develop a therapeutic relationship to assist people with an altered self-concept. One of the techniques to enhance this relationship is:

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Which statement should the nurse make first when assessing the client's self-concept?

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During the assessment interview, the client is quiet and answers questions only minimally. What action should the nurse take in regard to this apparent unwillingness to share information?

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The clinical nurse consultant/unit coordinator has instituted a series of classes on self-concept development for staff nurses. Why is it important that the classes include information to improve the nurses' self-concept as well as information to use with clients?

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A nurse is assessing an Indigenous client for self-esteem following a suicide attempt. The nurse notices that he does not maintain eye contact and is hesitant at answering questions. The nurse documents this as:

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The client's wife complains to the nurse that it seems as if her husband is not making much progress in developing a more positive self-esteem. What statement by the nurse would be appropriate?

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A rare malignancy will require the amputation of an adolescent client's leg. The client refuses the surgery, stating: "I would rather die than have my leg amputated". The nurse plans future interventions based upon which of the following?

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The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue, tearfulness and relationship difficulties. What action by the nurse would support accurate assessment?

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Which nursing intervention would be helpful when caring for a client who has negative self-esteem?

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The nurse's global self-esteem is very low after a week of taking care of several clients who have unexpectedly died. What fact about self-esteem should this nurse remember?

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A nursing student is at the midpoint of a clinical rotation in which the student has had problems getting along with the clinical facilitator. The student has just received an evaluation that indicates difficulties with time management and prioritisation in the care of clients. How should the student react to this input?

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