Question 1

A nurse is listening to a lecture on self-awareness. Which statement by the nurse indicates that the teaching has been effective?

Accepted Answer

A)   "Self-confidence involves knowing oneself".
B)   "Competence involves knowing oneself".
C)   "Understanding involves knowing oneself".
D)   "Self-awareness involves knowing oneself". D

Question 2

Which actions or statements can the nurse take to eliminate self-defeating behaviors? (Select all that apply.)

Accepted Answer

A)   Say, "I know that I can do this."
B)   Accept responsibility for his or her actions.
C)   Worry about things that are out of his or her control.
D)   Strive for perfection.
E)   Believe that his or her actions are out of his or her control. A, B

Question 3

A patient is learning to improve her personal empowerment skills after going through a tough divorce. Which actions can she take to accomplish this? (Select all that apply.)

Accepted Answer

A)   Practice positive self-talk.
B)   Manage the work of success.
C)   Develop an external locus of control.
D)   Eliminate self-defeating behaviors.
E)   Manage good health. A, B, D, E

Question 4

A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as

Accepted Answer

A)   commitment to learning.
B)   assuming an external locus of control.
C)   self-directedness.
D)   self-defeating behaviors.

Question 5

A lab instructor is observing placement of a Foley catheter by a senior nursing student. If the student is in the active experimentation phase of Kolb's Theory of Experiential Learning, what action can the lab instructor expect from the student?

Accepted Answer

A)   The student will need to observe placement before proceeding.
B)   The student assists the instructor in placing the catheter.
C)   The student places the Foley catheter without assistance.
D)   The student verbalizes beginning to understand catheter placement.

Question 6

A nurse is trying to manage success in the workplace. Which action demonstrates that she understands key habits that must be developed and maintained?

Accepted Answer

A)   Carefully list and organize the day's tasks.
B)   Complete a task over again because it wasn't done perfectly the first time.
C)   Avoid difficult tasks because they won't be done correctly.
D)   Blame others for lack of organization.

Question 7

Stress reduction while in nursing school is an important part of maintaining one's health. Holistic cognitive theory for stress reduction has four steps. The student shows that he or she understands the first step to achieving awareness by doing which of the following?

Accepted Answer

A)   Becomes aware of the early physical signs of stress
B)   Concentrates on placing himself or herself as the center of everything
C)   Mentally filters perceptions
D)   Disqualifies the positive in the experience

Question 8

The student is listening to a lecture on self-defeating behaviors. Which statement by the student indicates that teaching has been effective?

Accepted Answer

A)   "Nit-picking is viewing situations from a negative aspect."
B)   "Pessimism is looking for all imperfections."
C)   "Worrying is being concerned over issues that may or may not be in your control."
D)   "Perfectionism is rejecting responsibility for actions or inactions."

Question 9

A student must come back to the learning laboratory to repeat the skills and check for insertion of a nasogastric tube. The instructor overhears the student saying, "I know I can do this, I know I can do this!" The instructor interprets this behavior as

Accepted Answer

A)   a self-defeating behavior.
B)   positive self-talk.
C)   perfectionism.
D)   blaming.

Question 10

After a particularly challenging examination, a student is overheard in the hallway exclaiming, "That instructor just grades too hard! She only gave me a B on the test!" This student is exhibiting traits of a(n)

Accepted Answer

A)   external locus of control.
B)   internal locus of control.
C)   perfectionist.
D)   realist.

Question 11

A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will." This student is obviously stressed, and the statements represent

Accepted Answer

A)   awareness reduction.
B)   cognitive distortions.
C)   positive coping mechanisms.
D)   acceptance of reality.

Question 12

A nursing student is learning about effective time management in her first semester of nursing school. Which action by the student indicates that she understands the first critical step?

Accepted Answer

A)   Setting goals based on the desired outcome
B)   Prioritizing goals in order of simple to complex
C)   Prioritizing tasks in chronological order
D)   Assessing the reality of the complete situation

Question 13

The nurse understands that there are four key habits for managing the work of success. Which action by the nurse demonstrates her understanding?

Accepted Answer

A)   Participating in a yoga class
B)   Analyzing case studies on her day off
C)   Taking time at the beginning of the work shift to make a plan for her day
D)   Setting short- and long-term goals

Question 14

The roommate of a nursing student buys tickets to the student's favorite play. The student realizes that the play is the night before her final exam. When the student turns down the tickets, the roommate interprets the student's dedication to school as

Accepted Answer

A)   dedication to the plan until other mounting responsibilities interfere.
B)   total dedication, even in the face of other attractive opportunities.
C)   total dedication until resolve begins to wane.
D)   discipline to change the plan as needed.

Question 15

A student is listening to a lecture on stress reduction and coping mechanisms. Which statement by the student indicates that the teaching has been effective? (Select all that apply.)

Accepted Answer

A)   "Relaxation is a positive coping mechanism."
B)   "Catharsis is a form of stress reduction."
C)   "Reframing would aide in stress reduction."
D)   "Distraction is the most helpful form of stress reduction."
E)   "Adrenaline rush prevents stress."

Question 16

A lab instructor is preparing to teach a group of students. After reading questionnaires filled out by the students in her group, she notes that the students would best learn by reflective observation. What activity should the instructor plan so that the students have the best chance of success?

Accepted Answer

A)   Set up stations so that the students can try to "figure it out for themselves."
B)   Allow the students to observe a presentation.
C)   Present the information in a lecture while students take notes.
D)   Present information and allow the students to be directly involved in a hands-on setting.

Question 17

A group of nursing students is discussing how their lives have changed since beginning nursing school. The student who understands the second step of holistic cognitive theory for stress reduction recognizes which comments as descriptive of automatic thoughts? (Select all that apply.)

Accepted Answer

A)   "My lab instructor doesn't like me. I had to repeat my cardiac assessment when no one else did."
B)   "After studying for hours, I finally remembered all the steps to insert a Foley catheter. I will use this method again."
C)   "My child is having behavioral issues in preschool. I know it is because I am in school right now."
D)   "Right after I turned in my test I knew there were at least two answers that I should have changed. I know I failed the test."
E)   "Everything is falling apart in my life. I never should have come to school."

Question 18

A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?

Accepted Answer

A)   Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.
B)   Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.
C)   Perfectionism is the only means by which we can truly improve.
D)   Perfectionism is a character flaw and cannot be addressed.

Question 19

A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process?

Accepted Answer

A)   Put off the assignment until later so more content is remembered.
B)   Examine your schedule to determine time frames for study sessions.
C)   Determine a study environment fitting your learning style.
D)   Divide the assignment into manageable chunks, and take notes as you read.

Exam 2: Assessing Yourself and Designing Success