Deck 23: Self-Concept and Sexuality

Question 1

The nurse is caring for a 65-year-old mother of three who recently underwent abdominal surgery and has a colostomy as a result.The patient has a history of multiple surgeries,including a tracheostomy after lung surgery about 20 years earlier that has since healed over.To determine how to best work with this patient,the nurse should do which of the following?

A) Determine how the patient dealt with her previous surgeries.
B) Realize that past coping mechanisms are always positive in nature.
C) Approach care in a standard method because all patients are the same.
D) Avoid using family input in determining the course of care.

Answer 1

Determine how the patient dealt with her previous surgeries.

Question 2

A nurse is caring for an adult patient who retired last year.While rendering care,the nurse identifies that the patient is struggling emotionally with this change.This situation is most likely associated with what self-concept component?

A) Role performance
B) Identity stressors
C) Self-esteem
D) Body image stressors

Answer 2

Role performance

Question 3

Body image is an important concept relative to psychosocial development.In dealing with body image issues,the nurse must do which of the following?

A) Understand that skinny people always see themselves as thin.
B) Realize that body image is never associated with self-esteem.
C) Recognize that physical changes always lead to changes in body image.
D) Be aware that female adolescents more frequently struggle with issues than males.

Answer 3

Be aware that female adolescents more frequently struggle with issues than males.

Question 4

Reviewing sexuality changes associated with aging is important because:

A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.

Question 5

A middle-age female model is admitted for a double mastectomy.On admission the nurse notes that she is depressed and withdrawn.The most appropriate patient-centered nursing intervention(s)might be which of the following? (Select all that apply.)

A) Use a positive and matter-of-fact approach to care.
B) Include the patient in decision making about her care.
C) Be aware of nonverbal behaviors when providing care.
D) Focus on the task when an unpleasant task must be done.
E) Focus matter-of-fact statements on positive aspects of patient healing.

Question 6

The mother of a 7-year-old boy asked the nurse what factors tended to increase self-esteem in boys.Which of the following is the nurse's best response?

A) Positive family communication supporting the child's self-worth.
B) It does not really matter because self-esteem varies widely throughout life.
C) Avoid situational crises because they lead to permanent changes in self-esteem.
D) Let the child know that it is OK to be incompetent.

Question 7

The patient is a 66-year-old patient who has been admitted to the hospital for a transient ischemic attack (TIA).Her health care provider has told her that she should consider retiring from her high-stress position as a hospital administrator.The patient is distraught over this suggestion.The nurse caring for her recognizes the most likely cause of distress is a result of a change in which of the following?

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

Question 8

The nurse is caring for a 34-year-old woman,who was admitted to the hospital with multiple rib fractures.The patient states,"I fell down the stairs.It was all my fault.I can be so stupid at times." The nurse notices healing bruises on the patient's back and buttocks.The patient's husband seems very caring,always holding her hand and often answering questions for her.The nurse should do which of the following?

A) Direct her questions toward the husband because he answers most of them anyway.
B) Accept the patient's report on how she received her broken ribs.
C) Ask the husband to step into the waiting room while the patient is examined.
D) Treat the patient's wounds and discharge her home.

Question 9

As a nurse caring for a patient with a colostomy that resulted from the treatment of a benign tumor of the bowel.The most appropriate classification of this self-concept component is which of the following?

A) Role performance stressor
B) Sexuality stressor
C) Identity stressor
D) Body image stressor

Question 10

The student nurse is discussing her 4-year-old patient with her nursing instructor.The instructor asks her about how Erikson's Developmental Tasks have an impact on a 4-year-old child's self-concept and sexuality.What is the best response?

A) "Mike identifies with his father."
B) "Mike likes to help dress himself."
C) "Mike is aware that he is too small to play football."
D) "Mike is looking forward to going to college when he gets bigger."

Question 11

A 35-year-old new mother returns to the clinic for her 6-week postpartum check.When discussing questions regarding the patient's sexual health the nurse should do which of the following?

A) Assume that permission to discuss sexuality issues is implied.
B) Seek knowledge about sexual health in general.
C) Make therapeutic suggestions early and adjust as needed.
D) Refer the patient to a professional with advanced training if necessary.

Question 12

A male patient shares that,although he has a satisfying relationship with his wife,he is also attracted to men.He is confused and does not know how to deal with this issue.The nurse should do which of the following?

A) Explain that the patient's problem is one of orientation and high risk.
B) Tell the patient that he has a sexual dysfunction and needs medication.
C) Inform the patient that having relationships with other men is normal and risk free.
D) Teach that STIs are fewer with men because most STIs are spread vaginally.

Question 13

The patient is a 16-year-old teenager who is in the clinic for his annual check-up.During the assessment,the nurse asks the patient about his use of tobacco.Although he denies smoking,he tells the nurse that he dips snuff.He tells the nurse that he started last year because all his friends do it.The nurse recognized this as a stressor of which of the following?

A) Body image
B) Identity
C) Role performance
D) Sexuality

Question 14

The nurse is attempting to obtain a sexual history on a patient who is being evaluated for a possible hysterectomy.The nurse should do which of the following?

A) Assume that the patient will not appreciate questions about sexual practices.
B) Avoid information relative to medication effect on sexuality.
C) Use specific gender terms to emphasize sexuality.
D) Recognize that many patients welcome the chance to talk about their sexuality.

Question 15

After a large weight loss a patient tells the nurse,"There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component?

A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image

Question 16

The nurse is caring for an elderly patient who has a urinary catheter in place and is showing signs of altered self-concept.In dealing with this age group it is probably safe to assume which of the following?

A) Sexuality concerns are not an issue.
B) Sexual activity is probably harmful.
C) Sexually active seniors are always heterosexual.
D) Sexually active elderly adults have better overall health.

Question 17

The nurse is caring for a patient who has been diagnosed with chronic pain.The nurse is especially concerned about the patient's self-concept because chronic pain does which of the following?

A) Normally has no effect on the ability to function once patients learn to deal with it
B) Can often cause increased irritability that can affect self-concept
C) Often leads to increased sleep as patients try to "escape" the pain
D) Requires pain medication that prevents self-concept alterations

Question 18

A middle-age single woman has breast cancer and needs a mastectomy.She is concerned with future male relationships.She is crying and indicates that her life is over.According to Erikson,she occupies which stage?

A) Intimacy versus Isolation
B) Autonomy versus Shame and Doubt
C) Identity versus Role Confusion
D) Ego Integrity versus Despair