Question 1

An older adult patient is admitted to the hospital with terminal cancer. The patient expresses acceptance of impending death and states, "I am very satisfied with the life I had." The nurse recognizes the patient is in Erikson's stage of psychosocial development known as which of the following?

Accepted Answer

A)   Integrity vs. Despair
B)   Autonomy vs. Shame and Doubt
C)   Intimacy vs. Isolation
D)   Identity vs. Identity Diffusion A

Question 2

Identify the type of perceptual alteration represented in the following example: Jim, a 12-year-old, states, "I am different from others in my physical education class because I am the class dunce."

Accepted Answer

A)   Distorted reality
B)   Selective attention
C)   Self-fulfilling prophecy
D)   Cognitive distortion C

Question 3

A patient has just had his status changed to "comfort care only." The nurse recognizes that the patient is spiritually distressed. The nurse understands that spiritual pain

Accepted Answer

A)   cannot be inferred from the patient's behavior.
B)   is not as severe as physical pain.
C)   cannot be verbally shared.
D)   can be as severe as physical pain. D

Question 4

The nurse is caring for a patient who is anxious about a new diagnosis of cancer. When discussing chemotherapy with the patient, the nurse understands that

Accepted Answer

A)   the patient will need to be given instructions only once.
B)   the patient may only hear part of the instructions.
C)   emotions obey the rules of logic.
D)   a cognitive lack of understanding may occur.

Question 5

Which of the following represents the role of the nurse in helping a patient reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?

Accepted Answer

A)   They can take a passive approach.
B)   They can negate potential possibilities.
C)   They can focus on personal weaknesses.
D)   They can reframe the patient's sense of self.

Question 6

The nurse is caring for an adolescent patient who has had an amputation of his right leg. The patient states, "I'm really worried my girlfriend might not want to be with me anymore. I don't look the same." Which of the following concepts is represented in this situation?

Accepted Answer

A)   Role performance
B)   Body image
C)   Self-esteem
D)   Personal identity

Question 7

When learning about the Johari Window, the student nurse recognizes that the model consists of four areas, and that the hidden self can best be described as

Accepted Answer

A)   what is known to self and others.
B)   what is known by others, but not by self.
C)   what is known by self, but not by others.
D)   what is unknown to self and also unknown to others.

Question 8

To adequately meet the spiritual needs of patients, the nurse should first

Accepted Answer

A)   learn to be considerate and sensitive.
B)   distinguish between his or her own spiritual needs and those of the patient.
C)   meet the patient's spiritual needs.
D)   offer to pray and read the bible with the patient.

Question 9

Which of the following statements about perception is true?

Accepted Answer

A)   Perception is a function of the senses.
B)   Perception is an interpersonal process.
C)   Positive images are retained longer than negative ones.
D)   Personal identity is constructed through cognitive processes of perception.

Question 10

When giving a class presentation on self-concept, a student nurse notices that a classmate has fallen asleep. The student nurse immediately decides that the presentation must be boring and that she will fail this assignment and subsequently obtain a poor grade in the course. This is an example of

Accepted Answer

A)   selective attention.
B)   negative self-talk.
C)   self-fulfilling prophecy.
D)   negative feedback.

Question 11

After receiving her morning assignment, the nurse realizes that she will be caring for a patient with Alzheimer disease. The nurse understands that when communicating with this patient, it will be important to

Accepted Answer

A)   avoid touch because this may be misinterpreted by the patient.
B)   shorten processing time before the patient becomes distracted.
C)   break instructions down into small, sequential steps.
D)   present ideas all at once before the patient's attention wanders.

Question 12

A patient states, "I am an obese, compulsive person." The nurse demonstrates how to conduct a perceptual check when stating which of the following?

Accepted Answer

A)   "Can you tell me more about this?"
B)   "Is it difficult for you to be this way?"
C)   "I wouldn't worry about being very neat."
D)   "It is okay to be this way; you are not hurting anyone."

Question 13

When directing the behavior of patients, it is important for the nurse to

Accepted Answer

A)   understand the dimensions of self-concept.
B)   become personally involved with each patient.
C)   learn to control one's feelings.
D)   offer limited guidance and support.

Question 14

Which of the following statements is true about self-esteem?

Accepted Answer

A)   It is an objective emotional process.
B)   Achievements lead to high self-esteem.
C)   It is the emotional value a person places on his or her self-concept.
D)   It is a concept that becomes fixed.

Exam 9: Self-Concept in Professional Interpersonal Relationships