Deck 26: Self-Concept

Question 1

The nurse can assist the patient in becoming more self-aware by using which technique?

A)Setting up an appointment to allow the patient to vent.
B)Allowing the patient to openly explore thoughts and feelings.
C)Assisting the patient to physically punch a pillow when upset.
D)Providing materials for the patient to write complaint letters.

Answer 1

Allowing the patient to openly explore thoughts and feelings.

Question 2

The developmental self-concept task known as initiative versus guilt would occur in which person?

A)A 3-week-old neonate.
B)A 5-year-old kindergarten student.
C)An 11-year-old student.
D)A 15-year-old high school student.

Answer 2

A 5-year-old kindergarten student.

Question 3

The nursing student can help geriatric patients' self-concept by using which technique?

A)Discussing current weather.
B)Reviewing old photos with patients.
C)Encouraging patients to sing.
D)Allowing patients extra computer time.

Answer 3

Reviewing old photos with patients.

Question 4

A nurse grimaces when seeing a patient's colostomy opening while changing the colostomy bag.This expression is most likely to have what effect on the patient?

A)Assisting recovery by using honest communication.
B)Motivating the patient to increase physical activity.
C)Promoting development of a negative body image.
D)Developing a kind nickname for the colostomy opening.

Question 5

Identify the assessments suggestive of an altered self-concept.

A)Limping gait and large smile.
B)Slumped posture and poor personal hygiene.
C)Verbally responding when asked a question.
D)Appropriate dress with clean clothes.

Question 6

Children learn to live an authentic lifestyle through culturally accepted behaviours,values,and role modelling.A child who does this is attempting to create what?

A)His or her own body image.
B)His or her own self-esteem.
C)His or her own identity.
D)His or her own role performance.

Question 7

An adult is adjusting to the idea of his chronically ill parent's moving into the family home.The community health nurse would assess the adult son for which potential stressor secondary to the new family living arrangement?

A)Role confusion.
B)Role ambiguity.
C)Role performance.
D)Role overload.

Question 8

A priority nursing intervention for a patient who has undergone a mastectomy is which of the following?

A)Using therapeutic silence to encourage the patient to talk.
B)Using communication skills to clarify family and patient expectations.
C)Telling her that you know she will do fine because many other women have.
D)Rotating nursing personnel in the patient's care,so the patient can talk to many people.

Question 9

Which of the following behaviours are suggestive of altered self-concept? (Select all that apply. )

A)Avoidance of eye contact.
B)Hesitant speech.
C)Being independent.
D)Easily making decisions.
E)Unkempt appearance.f.Interest in what is happening.

Question 10

The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.Which of the following would be an appropriate priority for a patient at this clinic?

A)Identifying local self-help groups before discharge from the program.
B)Staying away from all triggers that cause substance abuse.
C)Stating a plan to never be tempted by illicit substances after discharge.
D)Identifying personal areas of weakness to improve.

Question 11

The nurse can best assess the patient's self-concept by evaluating which of the following?

A)The patient's drug abuse history.
B)The patient's nonverbal behaviour.
C)The patient's personal journal.
D)The patient's social networking site.

Question 12

A newly hired nurse is struggling with night shift work and caring for multiple family members at home.The nurse manager calls the new nurse in to talk about how the nurse is negatively affecting patient self-concept by ignoring patients' concerns.What should the nurse manager focus on?

A)The new nurse's role overload.
B)The new nurse's self-esteem.
C)The new nurse's ego integrity.
D)The new nurse's ethics and morals.

Question 13

"I'm such a loser.I had that job for only a month." Identify appropriate nursing outcome criteria for this individual.

A)The patient will verbalize three life areas in which he or she functions well.
B)The patient will find new employment before the next clinic visit.
C)The patient will confront his or her former boss about work problems.
D)The patient will identify why he or she is considered a bad employee.

Question 14

Which of the following individuals is most likely to need the nurse's assistance because of the presence of identity confusion?

A)A 49-year-old man with stable employment.
B)A 35-year-old recently divorced mother of twins.
C)A 22-year-old in the third year of college.
D)A 50-year-old self-employed woman.

Question 15

Which of the following factors have been shown to be positively associated with self-esteem in adolescents? (Select all that apply. )

A)Family income above poverty level.
B)Greater number of siblings.
C)Religious community.
D)Emotional support from adult role models.
E)Increased social media use.
F)Parental support.

Question 16

A verbally abusive partner has made many negative comments to his significant other,the patient,over the years.In the crisis centre,the nurse would anticipate that the patient may have which of the following self-concept deficits?

A)Negative body image.
B)Role confusion.
C)Rigidity.
D)Yearning.

Question 17

A 9-year-old is proudly telling everyone about mastering the yellow belt in her martial arts class.Identify the appropriate developmental task.

A)Initiative versus guilt.
B)Industry versus inferiority.
C)Identity versus role confusion.
D)Autonomy versus shame and doubt.

Question 18

Two 50-year-old men are discussing their Saturday activities.The first man describes tutoring children as a volunteer at a community centre.The other man says that he would never work with children and that he prefers to work out at the gym to meet young women to date.The second man's statement reflects which developmental stage?

A)Inferiority.
B)Role confusion.
C)Self-absorption.
D)Mistrust.

Question 19

While documenting an adolescent's health history,the nurse recognizes that the patient began to act out behaviourally and engage in risky behaviour when her parents divorced.In considering a nursing diagnosis of Altered self-concept,the nurse would gather what information?

A)How long the parents were married.
B)How the patient views her behaviours.
C)Why the parents are divorcing.
D)Why she is acting out of control.