Deck 33: Self-Concept

Question 1

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

A) Body image
B) Role confusion
C) Rigidity
D) Yearning

Answer 1

Body image

Question 2

A priority nursing intervention for a postoperative mastectomy patient 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

Answer 2

Using communication skills to clarify family and patient expectations

Question 3

While gathering an adolescent's health history,the nurse recognizes that the patient began to act out behaviorally and engage in risky behavior when her parents divorced.In considering an altered self-concept nursing diagnosis,the nurse would gather what information?

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

Answer 3

How the patient views her behaviors

Question 4

The nurse can best assess the patient's self-concept by evaluating the patient's

A) Drug abuse history.
B) Nonverbal behavior.
C) Personal journal.
D) Social networking site.

Question 5

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

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

Question 6

Identify the assessments suggestive of an altered self-concept.

A) Limping gait and large smile
B) Slumped posture and poor personal hygiene
C) Verbally responds when asked a question
D) Appropriately dressed with clean clothes

Question 7

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

A) Assist recovery by using honest communication.
B) Motivate the patient to increase physical activity.
C) Promote development of a negative body image.
D) Develop a kind nickname for the colostomy opening.

Question 8

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

A) The patient will verbalize two 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 9

Two 50-year-old men are discussing their Saturday activities.The first man describes how he tutors children as a volunteer at a community center.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 10

Based on current evidence,the nurse who plans smoking cessation interventions for adolescent girls should focus on interventions directed toward

A) Obeying parents and reducing television viewing.
B) Fostering generativity over self-absorption.
C) Role overload, addiction counseling, and depression.
D) Weight management, self-esteem, and stress management.

Question 11

Potential predictors for suicidal thoughts and behaviors in adolescents are

A) Stressful life events and a scholarship.
B) Very high self-esteem and work failure.
C) Health problems and developmental milestones.
D) Negative body image and low self-esteem.

Question 12

Based on the following data,which person is likely to have the highest self-esteem?

A) Latino adolescent female who has strong ethnic pride
B) Caucasian boy who lives below federal poverty level
C) African American adolescent male who has severe acne
D) Adolescent who was suspended twice from high school

Question 13

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.The nurse manager should focus on the new nurse's

A) Role overload.
B) Self-esteem.
C) Ego integrity.
D) Ethics and morals.

Question 14

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

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

Question 15

An adult is adjusting to the idea of his chronically ill parent 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 16

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

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

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

A) Identifying local self-help groups before being discharged 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 grow stronger.

Question 19

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

Question 20

Children learn to live an authentic lifestyle through culturally accepted behaviors,values,and role modeling.A child who does this is attempting to create his or her own

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