Deck 15: Promoting Self Esteem

Question 1

A 40-year-old client lives with her parents.She has a high school diploma and works at a low-paying job.Her parents give her a weekly allowance to supplement her income.How should the nurse classify their client-parent boundaries?

A) As loose
B) As rigid
C) As flexible
D) As enmeshed

Answer 1

As enmeshed

Question 2

A nurse is caring for a client who has recently undergone a radical prostatectomy.Which of the following should the nurse recognize as objective symptoms of low self-esteem? Select all that apply.

A) Withdrawal from activities
B) A decrease in self-care behaviors
C) Poor eye contact
D) Reports of pain
E) Poor posture

Answer 2

Withdrawal from activities
A decrease in self-care behaviors
Poor eye contact
Poor posture

Question 3

A 40-year-old female client has never experienced an intimate relationship.A nursing student tells an instructor that this client remains in Erikson's developmental stage of intimacy versus isolation.What is the instructor's most appropriate reply?

A) "Erikson's stages of development are assessed by chronological age, not task achievement. This client is in the generativity versus stagnation stage, which occurs from 30 to 65 years of age."
B) "Erikson's stages of development are assessed by task achievement, not chronological age. This client is in the intimacy versus isolation stage, which occurs from 20 to 30 years of age."
C) "Erikson's stages of development are assessed by task achievement, not chronological age. This client is in the generativity versus stagnation stage, which occurs from 30 to 65 years of age."
D) "Erikson's stages of development are assessed by chronological age, not task achievement. This client is in the intimacy versus isolation stage, which occurs from 20 to 30 years of age."

Answer 3

"Erikson's stages of development are assessed by chronological age, not task achievement. This client is in the generativity versus stagnation stage, which occurs from 30 to 65 years of age."

Question 4

A nursing instructor is teaching about self-concept.Which student statement indicates a need for further instruction?

A) Self-concept is the thinking component of the self.
B) Self-concept is a system of learned beliefs about self.
C) Self-concept is the degree of regard that individuals have for themselves.
D) Self-concept is the attitudes and opinions held true about personal existence.

Question 5

A client shows a nurse a piece of artwork that took 3 days to create.How will this achievement improve the client's self-esteem?

A) By providing a framework for assertive behavior
B) By providing an expression of feelings and a sense of competence and pride
C) By providing a positive perception of body image
D) By providing appropriate boundaries for relationship establishment

Question 6

Which is an appropriate initial nursing intervention for a client with chronic low self-esteem?

A) Assessing the content of negative self-talk
B) Administering anxiolytic medications
C) Using reassurance and physical touch
D) Using distraction techniques

Question 7

A client has continual problematic relationships and rejects others before possibly being rejected.The client states,"I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?

A) Poor self-esteem R/T negative self-image AEB fear of failure
B) Altered thought processes R/T anxiety AEB delusions
C) Role confusion R/T rejection and poor job productivity
D) High risk for violence: self-directed R/T rejection of others

Question 8

A nurse is working in a nursing home.How best can this nurse foster self-esteem in the residents of this facility?

A) Allowing them to remain in their rooms as much as they desire to maintain privacy
B) Administering anti-anxiety medications as ordered
C) Providing a sense of mastery over their environment by giving choices when appropriate
D) Teaching assertiveness skills and self-esteem principles

Question 9

A 30-year-old client diagnosed with depression has been exclusively cared for and financially subsidized by his mother since age 17.According to Erikson's theory,the nurse recognizes that the client has been unsuccessful in meeting which developmental task?

A) Trust
B) Initiative
C) Intimacy
D) Ego integrity

Question 10

A home health nurse visits an 18-year-old client who lives with his mother.The client has been assessed as having low self-esteem.The nurse refers the client for individual counseling.During the next home visit,which assessed client behavior clearly indicates treatment success?

A) The client wants to buy a dog but has not yet asked his mother's permission.
B) The client asks his mother for permission to buy a dog.
C) The client tells his mother he plans to buy a dog.
D) The client buys a dog and hides it in the garage.

Question 11

The nurse is working with a 15-year-old client suffering from low self-esteem.According to Erikson's psychosocial developmental theory,which factor has most probably influenced this client's self-esteem?

A) Regret over life choices
B) Lack of personal concern for others
C) Inconsistent, overly harsh, or absent parental discipline
D) Parental labeling of the child as "good" regardless of their behavior.

Question 12

In what way should a nurse expect a school-aged child to gain positive self-esteem,according to Erikson's psychosocial developmental stages?

A) Through basic need fulfillment and environmental predictability
B) Through exploration and experimentation, resulting in self-confidence in ability to perform
C) Through positive reinforcement of creativity and recognition of performance
D) Through receiving recognition when learning, competing, and performing successfully

Question 13

A 47-year-old mother of two has recently undergone a radical mastectomy.She refuses to see anyone and remains isolated and withdrawn.Which of the following may be relevant nursing diagnoses for this client? Select all that apply.

A) Disturbed body image
B) Situational low self-esteem
C) Ineffective coping
D) Altered thought processes
E) Altered sensory perception

Question 14

On the basis of Erikson's theory,how should a nurse encourage a 40-year-old client to improve his or her self-esteem?

A) Encourage the client to review life goals and accomplishments.
B) Encourage the client to volunteer at a school, reading to underprivileged children.
C) Encourage the client to form lasting intimate relationships.
D) Encourage the client to seek recognition for task achievement.

Question 15

A nurse is running a group on self-esteem.A client asks,"Where does self-esteem come from?" Which is the most appropriate nursing reply?

A) "Many factors, over the life span, influence development and maintenance of self-esteem."
B) "Self-esteem is determined by factors outside of an individual's control."
C) "Self-esteem is established in childhood and remains relatively fixed throughout life."
D) "Genetics are the single largest contributor to an individual's self-esteem."

Question 16

A father tells his 5-year-old,"Son,today instead of picking flowers in the outfield,let's try to catch a ball." The child subsequently pays attention and catches a ball.Which principle of building self-esteem has the father implemented?

A) A sense of competence
B) Unconditional love
C) Realistic goals
D) Reality orientation