Deck 27: Self-Concept

Question 1

A prostitute with HIV and severe complications is being cared for on a medical unit.The nurse is seeking to develop a therapeutic relationship with the client.Which of the following statements best reflects the nurse's attempt to support the client's self-exploration?
1) "What type of support do you feel you need?"
2) "Don't be embarrassed by your former occupation."
3) "What type of schedule could allow you to eat without being nauseated?"
4) "The people who work here are professionals;we'll not judge your past actions."

Answer 1

1
Encouraging the client's self-exploration by asking about the type of support needed is achieved by accepting the client's thoughts and feelings,by helping the client to clarify interactions with others,and by being empathetic.Telling the client not to be embarrassed does not encourage self-exploration.It also assumes that the client is embarrassed,which may not be the case.Asking about the type of schedule involves the client in a decision-making process related to the client's care,but does not support the client's self-exploration.Self-exploration expands self-awareness.Telling the client that staff will not try to judge the client's past is not therapeutic and implies judgment is due and does not encourage open communication and self-exploration.

Question 2

The client is on the orthopedic unit following back surgery.He states,"I feel like I can't do anything anymore-and I won't be able to continue my landscaping business." This is predominantly an example of a problem in which of the following components of self-concept?
1) Body image
2) Self-esteem
3) Identity
4) Role

Answer 2

4
A physical health deficit that prevents role assumption can create a problem in the role performance component of self-concept.A client who is verbalizing concern about continuing a previous occupation is not demonstrating a problem in body image,but rather in the role performance component of self-concept.Self-esteem is closely related to self-concept,but is not a component of self-concept.Identity involves the internal sense of individuality,wholeness,and consistency of a person over time and in various circumstances.The client is verbalizing concern about role performance,not necessarily identity.

Question 3

A client is manifesting behaviors that are consistent with a negative self-concept.The nurse that is working with him has observed that the client maintains:
1) Frequent eye contact
2) Independence in self-care
3) A passive personal attitude
4) An interest in the surroundings

Answer 3

3
A passive attitude is a behavioral characteristic suggestive of a negative self-concept.Avoidance of eye contact would be a behavior suggestive of a negative self-concept.Being excessively dependent is characteristic of a negative self-concept.A lack of interest in what is happening in one's surroundings is characteristic of a negative self-concept.

Question 4

The nurse recognizes which of the following clients is at greatest risk of developing negative self-esteem?
1) A 35-year-old woman who has been diagnosed morbidly obese
2) A 53-year-old male avid golfer who has lost two fingers on his right hand
3) A 63-year-old man experiencing erectile dysfunction post prostatectomy
4) A 14-year-old girl with a facial scar resulting from an automobile accident

Question 5

A 73-year-old client who is no longer working as a cabinetmaker begins to make statements that suggest negative self-concept.This is most likely related to:
1) The prospect of limited financial and health care resources
2) The loss of family members and friends to death and illness
3) The physical changes the aging process has had on his health and body
4) The perceived loss of respect others once had for his woodworking abilities

Question 6

The client has very recently been let go from his place of employment and is very upset about the loss.The nurse is establishing a plan of care for the client,she determines that an appropriate outcome for this client with situational low self-esteem is:
1) Client will recognize his inability to make decisions
2) Client will respond to anxiety with decreased amounts of stress
3) Client will use therapeutic communication skills to discuss his needs
4) Client will discuss a minimum of two areas where he is functioning well

Question 7

A client is seen in a walk-in clinic for a sinus infection.Which of the following statements made by the client shows the most positive attitude regarding personal health?
1) "I haven't missed work due to illness in over 15 years."
2) "When do I need to return to the clinic for a follow-up?"
3) "I don't like taking medications unless I really need them."
4) "Should I be concerned about giving this infection to someone else?"

Question 8

A 76-year-old client who recently lost his wife is admitted for surgery.The nurse is using Erikson as a psychosocial framework for client assessment.Which of the following behaviors would alert the nurse that the client has an alteration in the integrity stage of his psychosocial development?
1) Accepting his own limitations
2) Verbalizing fear about the surgery
3) Expressing his thoughts about his care
4) Demanding excessive assistance from his daughter

Question 9

The nurse is assessing a 16-year-old who has been diagnosed with a sexually transmitted disease (STD).The nurse realizes that such risk-taking behavior (e.g. ,unprotected sex)is most often a result of:
1) Peer pressure
2) Poor self-esteem
3) Social expectation
4) Lack of information

Question 10

In developing role behavior,the child learns which of the following through substitution?
1) Internalizing beliefs and values of role models
2) Refraining from behavior even though tempted
3) Avoiding unacceptable behavior because it is punished
4) Engaging in an acceptable behavior instead of another unacceptable one

Question 11

The nurse is working with a client and wants to learn about the individual's perception of identity.What question should the nurse use to assess this?
1) "What changes would you make in your appearance?"
2) "What activities do you enjoy doing?"
3) "How would you describe yourself?"
4) "What is your usual day like?"

Question 12

Which of the following statements best reflects an understanding of the definition of negative client self-concept?
1) "Acne is very difficult to deal with,especially for a youngster."
2) "Managing type 2 diabetes can be very challenging for the client."
3) "An above the knee amputation requires extensive physical therapy."
4) "Clinical depression can make things like going to work quite difficult."

Question 13

A client's biggest concern is about the interactions that she has with her family,and she is in the process of establishing a positive view of herself.Which group is the client meeting the developmental needs of:
1) 12- to 20-year-old age-group
2) Early 20s to mid-40s age-group
3) Mid-40s to mid-60s age-group
4) Late 60s and older age-group

Question 14

A school-age client has just been diagnosed with juvenile diabetes.The client is very angry about the new disease.Which of the following statements is most appropriate for the nurse counselor working with this client?
1) "Try not to be angry.You are receiving the best care possible."
2) "You appear upset about the diagnosis.Let's talk about your feelings."
3) "You learn quickly and will probably handle the difficult treatments very well."
4) "It is all right to be angry with your friends,but try not be angry with your parents."

Question 15

A client,while receiving therapies for lung cancer,has been hospitalized for an extended period of time.She has become very depressed,refuses visitors,and does not participate in personal grooming.In order for the nurse to assist in achieving resolution of the client's problem,he should have the client:
1) Get washed and dressed independently
2) Think positively instead of negatively
3) Contact a support group and explore a psychological consultation
4) Become more physically independent and return to prior activities

Question 16

The nurse expects which of the following healthy clients to present with the best view of self-esteem?
1) 8-year-old boy
2) 18-year-old male adolescent
3) 38-year-old woman
4) 58-year-old woman

Question 17

A recently divorced client,who is a lawyer,comes to the clinic.She has gotten custody of her two teenagers and states,"It is going to impossible for me to raise my children the way I'd like and keep working as hard as I do." This is an example of:
1) Role strain
2) Role conflict
3) Role ambiguity
4) Gender role stereotype

Question 18

The nurse recognizes that self-concept develops throughout an individual's lifetime.Which developmental task associated with self-concept is expected in an assessment of an individual from the 12- to 20-year-old age-group?
1) Identifying with a gender
2) Exploring goals for the future
3) Distinguishing oneself from the environment
4) Feeling positive about one's life achievements

Question 19

The client has just learned that his motorcycle accident has resulted in his left leg being amputated.When helping this client form goals and strategies for realistic goals,the nurse needs to assess the client's:
1) Ideal and perceived self-concept
2) Intellectual and spiritual strengths
3) Involvement with significant others
4) Interests and past accomplishments

Question 20

The nurse is assessing a 16-year-old who has been diagnosed with a sexually transmitted disease (STD).The nurse realizes that such risk-taking behavior is often a predictor of even more serious self-destructive behaviors,and so this client should be:
1) Screened for illegal drug use
2) Assessed for suicidal ideations
3) Interviewed regarding alcohol consumption
4) Provided information regarding birth control

Question 21

The best indication that a client will regain a good sense of self esteem after experiencing a second below the knee (BTK)amputation is:
1) The client stating,"I'll get over this setback"
2) A solid,caring relationship with family and friends
3) A healthy sense of self esteem after the first amputation
4) The client telling his wife,"I'll still be able to work from a wheelchair."

Question 22

Which of the following physical changes that are commonly seen during puberty would be most likely to cause body image problems for a 12-year-old girl?
1) Having her first menstrual period
2) Growing 3 inches over the summer
3) Experiencing a substantial increase in breast size
4) Experiencing hair growth on legs and underarms

Question 23

A 12-year-old girl's expressed goal to be "super thin" is a body image issue influenced primarily by:
1) Peer pressure
2) Societal values
3) Teenage role modeling
4) Normal developmental changes

Question 24

Which of the following statements best reflects the client's perception of the female role?
1) "My wife bakes the best bread."
2) "All of my daughters are stay-at-home moms."
3) "I don't understand why a woman would want to be a coal miner."
4) "We are so proud;our granddaughter got accepted into law school."

Question 25

Which of the following statements best reflects a client's healthy sense of self-esteem?
1) "I always try to do the best I can"
2) "I'll keep trying till I get it right."
3) "I'm not good at it but I enjoy playing guitar "
4) "If I can't build it,it isn't worth being built."

Question 26

Which of the following statements best reflects a client's healthy sense of identity?
1) "My name is Susan."
2) "My children are my world."
3) "I'm looking for my perfect job."
4) "I'm happiest when I get to exercise regularly."

Question 27

Which of the following statements,regarding the physical changes that are associated with the normal aging process,made by a 63-year-old female client best reflects a negative sense of body image?
1) "I felt old when I had to by bifocal glasses."
2) "My aging joints just don't allow me to hike like I used to."
3) "In order to be successful at my work,I need to dye away the gray hair."
4) "It's much more difficult to socialize with friends now that I can't hear as well."

Question 28

Which of the following nursing actions will have the most therapeutic impact on the self-esteem of a client with HIV?
1) Dealing with the client's needs in a nonjudgmental manner
2) Being aware of how the client will react based on the client's culture
3) Providing care that will meet the client's emotional and physical needs
4) Being careful to avoid nonverbal communication that could be misinterpreted

Question 29

A 73-year-old client shares with the nurse that she feels so useless,especially now that arthritis makes her life-long hobby of hand sewing so painful as to make it almost impossible.Which of the following nursing responses is most therapeutic given the client's current poor self-esteem image?
1) "What is it about sewing that makes it so enjoyable for you?"
2) "I'm sure your sewing is beautiful;have you ever considered teaching others to sew?"
3) "Maybe you can find something else that will give you as much satisfaction about yourself."
4) "We can attempt to find the proper pain management plan to minimize the discomfort so you can sew again."

Question 30

Research has shown that Caucasian girls and women appear to experience more pressure to be physically thin than do African American girls and women.The most likely reason for this variation in attitude is the:
1) Caucasian culture values physical thinness
2) African American culture does not value physical thinness
3) Caucasian girls and women are genetically programmed for physical thinness
4) African American girls and women are not genetically programmed for physical thinness