Deck 11: Self Perception and Self-Concept

Question 1

The 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. How can the nurse assist the patient in improving her body image?

A) Teach her to write with her left hand.
B) Place articles within easy reach of her left hand.
C) Help her select colorful scarves or accessories to cover her right arm.
D) Show her massage techniques to increase circulation in her right arm.

Answer 1

Help her select colorful scarves or accessories to cover her right arm.

Question 2

What would have the largest impact on maintaining a positive self-perception?

A) Ability to control life's choices
B) Financial success attained in life
C) Family relationships
D) Degree of wellness

Answer 2

Ability to control life's choices

Question 3

An older adult has recently been placed in a long-term care facility. What would the nurse expect to see exhibited in the patient?

A) Feeling unloved and unlovable
B) Feeling angry with the isolation
C) Feeling unworthy for attention
D) Feeling determined to be his or her own support

Answer 3

Feeling unloved and unlovable

Question 4

The 75-year-old woman newly admitted to a long-term care facility seems fearful of her surroundings and is frequently tearful, saying, "I don't know what to do!" What action by the nurse would most help decrease her fear?

A) Help the resident identify and verbalize her specific fears.
B) Assure the resident that she has nothing to be afraid of.
C) Keep the light on in the resident's room 24 hours a day.
D) Play quiet music on the resident's radio.

Question 5

What can the long-term care nurse do to best relieve anxiety in a female resident?

A) Stimulate her with group activity.
B) Sedate her to allow her to sleep.
C) Provide her with coffee for relaxation.
D) Offer her a diversion of a quiet activity.

Question 6

What is a common feeling for an older adult who is placed in a long-term care facility?

A) Rejection
B) Safety
C) Making a fresh start
D) Immediate assistance at hand

Question 7

What would the home health nurse expect the depressed patient to use in excessive amounts as the depression increases?

A) Alcohol
B) Corticosteroids
C) Caffeine drinks
D) Comfort foods

Question 8

An older adult has recently moved to a long-term care facility. The family asks what can be done to ease the transition. What would be the most appropriate suggestion of the nurse?

A) Send cards or gifts instead of personal visits.
B) Visit and call often to remind the resident that she or he is cared for.
C) Limit contact for several weeks to encourage independence.
D) Communicate with the long-term facility's staff to inquire about the resident's well-being.

Question 9

What would be considered the most important indicator of a positive self-image in an older adult living in a long-term care facility?

A) Feeding self independently
B) Maintaining urinary continence
C) Having family visitors every week
D) Neat grooming and wearing fresh clothing

Question 10

How does the concept of ageism portray older adults?

A) An inactive population of self-indulgent persons
B) A group that has opted to isolate themselves
C) Physically inept and nonproductive
D) An antisocial but active group

Question 11

What causes the greatest damage to self-worth?

A) Measuring self against internal ideals
B) Measuring self against individual values
C) Measuring self against external standards
D) Measuring self against expressions of positive feedback

Question 12

Which patient would have the highest risk of suicide?

A) 85-year-old male with a history of an affective disorder
B) 50-year-old female with a recent divorce
C) 70-year-old female with high blood pressure
D) 65-year-old male with chronic asthma

Question 13

What symptom could be an indicator of depression in an 80-year-old man?

A) Repetitive routines
B) Agitation and irritability
C) Constant talking
D) Seeking the company of family members

Question 14

The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is the

A) 70-year-old man with diabetes.
B) 75-year-old woman with chronic obstructive pulmonary disease.
C) 80-year-old woman with a bipolar disorder.
D) 85-year-old man with schizophrenia.

Question 15

What would cause the most damage to the self-concept of an older adult who lives in a long-term care facility?

A) Being perceived as a single group rather than an individual
B) Having individual needs that are not met
C) Losing many personal belongings
D) Losing social contact

Question 16

The nurse admits a 70-year-old female to the long-term care facility. While assisting with the assessment, the nurse notes that the patient's husband died 2 months ago and that she has pain daily in her deformed hands from rheumatoid arthritis, needs assistance to dress herself, and has become incontinent of urine. What is the most appropriate nursing diagnosis for this patient?

A) Risk for disturbed self-perception
B) Powerlessness
C) Hopelessness
D) Impaired social reaction

Question 17

An older adult in a long-term care facility has been diagnosed with depression. What would indicate a need for further assessment of suicide risk?

A) Asking for assistance in writing a will
B) Voicing the intention to visit his brother
C) Donating excess clothing to charity
D) Asking the young widow next door for a dinner date

Question 18

The newly admitted 80-year-old female resident sits in her room and stares at the TV all day. What action by the nurse would best aid the patient in increasing self-esteem?

A) Encouraging her to participate in self-care activities
B) Suggesting that she change the channel to an intellectually stimulating program
C) Giving her privacy until she becomes accustomed to the long-term care facility
D) Arranging for a meal tray rather than having her eat in the dining room

Question 19

Which older adult would be at the highest risk for suicide?

A) One with a lack of activity
B) One with an altered nutritional intake
C) One who abuses alcohol
D) One who has a chronic disease

Question 20

The nurse in a long-term care facility notes signs of depression in a resident who is ordinarily positive. What newly prescribed medication could contribute to the depression?

A) Erythropoietin
B) Corticosteroids
C) Calcium replacement
D) Broad-spectrum antibiotics

Question 21

What actions by the nurse would help a patient who is experiencing a loss of self-control? (Select all that apply.)

A) Allowing the patient to make choices whenever possible
B) Assisting the patient to perform all self-care activities
C) Respecting the patient's right to refuse treatment
D) Explaining all procedures ahead of time
E) Adapting the environment to enhance self-care

Question 22

What influences the older adult's self-perception? (Select all that apply.)

A) Family support
B) Ethnic heritage
C) Health status
D) Financial status
E) Sense of independence

Question 23

What forms an individual's self-identity? (Select all that apply.)

A) Values
B) Ambition
C) Interaction with others
D) Self-esteem
E) Ability to control his or her life

Question 24

What influences an older adult's self-concept? (Select all that apply.)

A) Financial security
B) Social life
C) Physical health
D) Mobility
E) Cognitive function

Question 25

What must an older adult develop in order to achieve Erikson's task of integrity versus despair? (Select all that apply.)

A) A positive attitude toward aging
B) Positive self-esteem
C) A manageable degree of illness
D) A ready support system
E) Control of all life choices

Question 26

How can an older adult with a failing memory assume control to improve self-image? (Select all that apply.)

A) Attitude toward aging
B) Financial needs
C) Physical appearance
D) Time use
E) Relationships

Question 27

The nurse notices there has been a change in the behavior of an 84-year-old home patient over the past few weeks. What methods can be used to assess the patient's self-perception and self-concept? (Select all that apply.)

A) Observing his physical appearance
B) Monitoring for changes in his vital signs
C) Encouraging him to verbalize his feelings
D) Observing for changes in activities
E) Participating in group activities