Deck 39: Self-Concept

Question 1

Which statement,made by the client,would indicate a "me-centered" self-concept?

A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."

Answer 1

"My future is based on the decisions I make today."

Question 2

A rare malignancy will require the amputation of an adolescent client's leg.The client refuses the surgery,stating: "I would rather die than have my leg amputated." What information should the nurse use to plan future interventions for this client?

A)The knowledge that adolescents are very concerned about body image
B)Concern about need for education regarding the danger of delaying surgery
C)The fact that the parents will have the ultimate decision about surgery
D)The ability of the adolescent to understand medical terminology

Answer 2

The knowledge that adolescents are very concerned about body image

Question 3

During the assessment interview,the client is quiet and answers s only minimally.What action should the nurse take about the client's reluctance to share information?

A)Document that the client is not cooperative.
B)Consider any cultural implications of these actions.
C)Assume that the client has something to hide.
D)Ask another nurse to sit in on the next interview attempt.

Answer 3

Consider any cultural implications of these actions.

Question 4

During an assessment,the nurse notes that a client frequently refers to his Native American heritage.The nurse determines that this heritage is a strong part of the client's

A)personal identity.
B)body image.
C)role performance.
D)self-esteem.

Question 5

Which nursing intervention would be helpful when caring for a client who has negative self-esteem?

A)Find a way to praise the client during each encounter.
B)Design a series of "small successes" for the client.
C)Correct the client when negativity arises.
D)Tell the client how much easier life would be with positive self-esteem.

Question 6

The nurse is assisting a client in setting goals as a strategy to reinforce strengths.What intervention should the nurse employ?

A)Encourage the client to set attainable goals,even if small.
B)Help the client choose a significant goal,even if it is time consuming.
C)Devise a set of goals from which the client can pick.
D)Advise the client to avoid goals that will require too much effort.

Question 7

The nurse is teaching a class for new parents about self-esteem development in infants.What information should be included?

A)If the baby awakens at night,let him cry for a few minutes before responding.
B)Keep the baby on a 3-hour feeding schedule,even if it means awakening him.
C)Respond to the baby's needs promptly and consistently.
D)Use firm,loving discipline with the baby from the beginning.

Question 8

The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue,tearfulness,and relationship difficulties.What action by the nurse would support accurate assessment?

A)Take detailed notes to record client responses.
B)Ask as many questions as possible to explore all areas of concern.
C)Start the interview by asking a series of yes/no questions.
D)Investigate the client's culture prior to the interview.

Question 9

The parents tell the nurse that their preschooler demands to wear specific clothing.They are concerned that the day-care workers might think they are negligent because the preschooler often wears mismatched clothing.What should be the nurse's response to this concern?

A)"Don't worry,day-care workers are accustomed to that sort of thing."
B)"This is normal and the preschooler is just practicing skills needed later in life"
C)"I am glad you brought that to our attention.I will make a note for her pediatrician."
D)"You should have better control of the child now if you have any hope of controlling the child during the teenage years."

Question 10

Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?

A)"I don't know if I know how to be a mom."
B)"My husband will be a stay-at-home dad while I work."
C)"I'm so disappointed that this baby is not a girl."
D)"I haven't even finished the baby's room."

Question 11

The adolescent male client who weighs 100 is considering taking "some herbal stuff" to increase muscle mass and strength.The nurse should interpret this statement as an indication that this client has

A)a strong need for admiration.
B)serious problems with logical thinking.
C)incongruence between reality and ideal self.
D)the need for referral to a psychologist.

Question 12

The nurse suspects that a client is having difficulty with specific self-esteem.Which client statements caused the nurse to have this concern?
Standard Text: Select all that apply.

A)"I hate my hair."
B)"Life is wonderful!"
C)"My hips are too big."
D)"I wish I had that nose job 2 years ago."
E)"It is awesome that I got that promotion at work."

Question 13

The newly graduated nurse is working with a mentor who has been a nurse for 25 years.The mentor tells the new graduate,"I learn something new about nursing every day." What does this indicate about the mentor's self-awareness?

A)This nurse is not very self-aware.
B)The mentor's self-awareness is behind normal development.
C)Because this mentor has been a nurse for so long,self-awareness is no longer an important issue.
D)Because self-awareness is never complete,this nurse is demonstrating desirable behavior.

Question 14

Which statement should the nurse make first when assessing a client's self-concept?

A)"Describe yourself as a person."
B)"Tell me about your family."
C)"Describe what you do when you have free time."
D)"Tell me about the work you do."

Question 15

The nurse and client had set the following expected outcome: "At the next clinic visit,the client will report participation in three activities to increase self-esteem." At today's visit,the client is unable to meet the stated outcome.What should be the nurse's next action?

A)Explore the possible reasons for not meeting the outcome.
B)Reevaluate the accuracy of the outcome statement.
C)Collaborate with the client to write a new expected outcome.
D)Identify new interventions to help the client achieve the outcome.

Question 16

A client who has recently lost 75 pounds continues to dress in loose,baggy clothing and frequently talks about being fat.The nurse realizes this finding most likely indicates

A)role confusion.
B)body image disturbance.
C)fear of success.
D)lack of education.

Question 17

The spouse tells the nurse that the client is not making progress in developing a more positive self-esteem.What should the nurse respond to the spouse?

A)"Most clients make quicker progress."
B)"Self-esteem work takes time and is not easily evaluated."
C)"What have you done to help the client with this work?"
D)"Do you think that the client is really trying?"

Question 18

Which characteristic of self-esteem will make it difficult for the nurse to plan interventions for a client?

A)Low motivation to improve
B)A focus on problems
C)Expressed disinterest in working on improvement
D)Not satisfied with personal situation

Question 19

The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses' self-concept along with information to use with clients.Why is the information for nurses important?

A)The nurse's self-concept is more important than the client's.
B)Poor self-concept is the number-one reason for nursing burnout.
C)Nurses with positive self-concept are better able to help clients.
D)Nurses with poor self-concept are more likely to make errors.

Question 20

A nursing student has just received an evaluation that indicates difficulties with time management and prioritization in the care of clients.How should the student react to this input?

A)Take the feedback seriously and use it to guide personal growth.
B)Blame the student-faculty relationship as the basis of the evaluation.
C)Dismiss the evaluation as invalid.
D)Consider the feedback carefully but not change practice patterns.

Question 21

The nurse is planning to assess a client's family relationships.What s should the nurse ask to obtain this information?
Standard Text: Select all that apply.

A)"How do you spend your free time?"
B)"What is your home like?"
C)"Who is most important to you?"
D)"How well do you feel you accomplish what is expected of you?"
E)"Whom do you seek out for help?"

Question 22

A client tells the nurse that her spouse expects the client to maintain the home and children as well as have a job to help with household expenses.The client is demonstrating fatigue and inadequacy.The nurse identifies which nursing diagnosis as appropriate for the client at this time?

A)Chronic Low Self-Esteem
B)Ineffective Role Performance
C)Disturbed Body Image
D)Parental Role Conflict

Question 23

The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an examination and has been barred from participating in a school trip as a consequence of that action.They ask for the nurse's professional opinion about the suitability of the punishment.Which answer best supports self-esteem development in this adolescent?

A)"I think the punishment may be excessive.Have you talked with the school officials about the incident?"
B)"Because my expertise is in health,I really can't respond to your question."
C)"Honesty and respect for authorities is important.I am surprised that the punishment is not more extensive."
D)"Living with the consequences of your actions is a way to help the adolescent develop good self-esteem."

Question 24

A client recovering from a lumpectomy for breast cancer tells the nurse that she "feels ugly." For which nursing diagnosis should the nurse plan interventions?

A)Powerlessness
B)Social Isolation
C)Grieving
D)Hopelessness

Question 25

The nurse working in a long-term care facility notices that one of the residents has had a recent decline in self-esteem.What intervention would be appropriate for this resident?

A)Ask the resident for advice in setting up an activity in the dayroom.
B)Keep the resident too busy to dwell in the past.
C)Don't allow the resident to talk about minor concerns.
D)Meet with the social worker to plan all of the client's care.

Question 26

An adult client who has been a successful writer in the past has been experiencing low self-esteem over the last year.Which behaviors indicate that the client is attempting to make positive changes?
Standard Text: Select all that apply.

A)The client joined a library book club.
B)The client counted the number of rejection letters she received from publishers.
C)The client states that she no longer reads Facebook to compare her life with her friends' lives.
D)The client works with the local Wheels on Meals to deliver meals once a week to older community members.
E)The client shared a letter from a magazine publisher that is going to print her short story in the next edition.