Question 1

The nurse is caring for patient who has major depressive disorder who has recently been terminated from his job. The patient tells the nurse, "I just don't know what to do. I identified myself through my work. I don't know who I am anymore." Which psychological theorist best describes the patient's current identification of self?

Accepted Answer

A)  Erik Erikson 
B)  William James 
C)  Abraham Maslow 
D)  Harry Stack Sullivan

Question 2

The nurse is applying nursing theory to enhance therapeutic relationships with patients with mental illness through the use of self as a tool. Which theorist does the nurse recognize as having introduced this concept?

Accepted Answer

A)  Patricia Benner 
B)  Ida Jean Orlando 
C)  Hildegard Peplau 
D)  Florence Nightingale

Question 3

The nurse is caring for a 32-year-old woman who is a professional dancer. The patient recently lost a limb in a motor vehicle accident. When planning care for this patient, which factor will the nurse focus on?

Accepted Answer

A)  Nurse's self-concept 
B)  Patient's self-concept 
C)  Nurse's self-perception 
D)  Patient's support system

Question 4

The nurse is caring for a patient who repeatedly talks about the role of religion in curing depression. Which approach best demonstrates the nurse's acceptance of the patient?

Accepted Answer

A)  Disregard the patient's focus on religion. 
B)  Listen to the patient in a supportive manner. 
C)  Encourage the patient to consider other curative factors. 
D)  Share opinions regarding the role of religion in daily life.

Question 5

Which statement best demonstrates that the novice nurse has engaged in the process of self-reflection while preparing to fulfill the professional role of a nurse working on an inpatient psychiatric unit?

Accepted Answer

A)  "I will ask for support from colleagues when I need it." 
B)  "I took a course in self-defense so I can take care of myself." 
C)  "I know there is a fine line between the patients and the staff." 
D)  "I can maintain proper distance by engaging in therapeutic interventions."

Question 6

The staff nurse is teaching a group of nurses about strategies that support the nurse's use of self, specifically when caring for a patient who is suffering. What strategy is the primary way in which the nurse provides a response to patient suffering?

Accepted Answer

A)  Presence 
B)  Empathy 
C)  Sympathy 
D)  Mindfulness

Question 7

The psychiatric-mental health nurse is using self-reflection in the therapeutic nurse-patient relationship. Which best describes the rationale? Select all that apply.

Accepted Answer

A)  Self-reflection helps the nurse develop creativity in nursing practice. 
B)  Self-reflection helps the nurse develop autonomy in her nursing practice. 
C)  Self-reflection provides an opportunity for the nurse to examine his or her own actions. 
D)  Self-reflection helps the nurse make sense of his or her actions within the context of the nurse-patient relationship. 
E)  Self-reflection provides an opportunity for the detailed assessment of the patient and his or her feelings toward the nurse.

Question 8

Which therapeutic approach by the nurse involves the use of personal awareness in order to carry out the steps of the nursing process?

Accepted Answer

A)  Use of self 
B)  Use of empathy 
C)  Use of open-ended questions 
D)  Use of therapeutic communication

Exam 7: Self-Reflection and Self-Awareness