Question 1

A recently divorced client comes to the clinic.She has custody of her two teenagers and is an established lawyer.She states,"I can't keep working so hard and raise my children the way I would like." Which of the following does this statement reflect?

A) Role ambiguity
B) Role strain
C) Role conflict
D) Gender role stereotype

C

Accepted Answer

The statement reflects role conflict, as the client is experiencing difficulty in fulfilling the demands of both her professional role as a lawyer and her personal role as a mother.

Question 2

Which of the following assessment findings would alert the nurse that a client may have an altered self-concept?&#10;A) Upright posture&#10;B) Prolonged eye contact&#10;C) Difficulty with decision making&#10;D) Openly expressing views and opinions

Accepted Answer

Difficulty with decision making can indicate a lack of confidence in one's abilities and may be a sign of an altered self-concept. The other options (upright posture, prolonged eye contact, openly expressing views and opinions) do not necessarily indicate an altered self-concept.

Question 3

The client has his left leg amputated following a motorcycle accident.Which of the following does the nurse need to assess when helping this client form realistic goals and strategies?&#10;A) Interests and past accomplishments&#10;B) Spiritual strengths&#10;C) Involvement with significant others&#10;D) Self-concept

Accepted Answer

Assessing the client's self-concept is crucial as it directly impacts their ability to set realistic goals and strategies following a life-changing event like an amputation. Understanding their self-view helps tailor support and interventions effectively.

Question 4

Which of the following terms refers to an individual's overall sense of self-worth?&#10;A) Self-concept&#10;B) Body image&#10;C) Self-esteem&#10;D) Identification

Accepted Answer

Self-esteem refers to an individual's overall sense of self-worth, including their beliefs and feelings about themselves, their abilities, and their value as a person. Self-concept refers to an individual's perception of their own personality traits and characteristics, while body image refers to an individual's perception of their physical appearance. Identification refers to the process of associating oneself with a particular group, culture, or identity.

Question 5

In developing role behaviour,the child learns which of the following through substitution?&#10;A) Engaging in one acceptable behaviour instead of another that provides the same personal gratification&#10;B) Avoiding unacceptable behaviour because it is punished&#10;C) Internalizing beliefs and values of role models&#10;D) Refraining from behaviours even though tempted to engage in them

Accepted Answer

Substitution in role behavior development involves engaging in one acceptable behavior instead of another that provides the same personal gratification, allowing the child to fulfill their needs in a socially acceptable way.

Question 6

Which of the following is the most important factor in determining an individual's response to a real or perceived stressor?&#10;A) Number of stressors&#10;B) Magnitude of the stressors&#10;C) The individual's perception of the stressor&#10;D) The stressor's effect on the individual's health status

Accepted Answer

The individual's perception of the stressor is the most important factor in determining their response, as people will react differently to the same stressor depending on their interpretation of it. Two people could experience the same stressor, but one might perceive it as a challenge while the other views it as a threat. This will affect their physiological and psychological response to the stressor. Therefore, it is essential to consider an individual's perception of the stressor in stress management techniques.

Question 7

A school-age client has just been diagnosed with juvenile diabetes.The client is very angry about the new disease.Which of the following statements is most appropriate for the nurse counselor working with this client to make?

A) "Try not to be angry because you are receiving the best care possible."
B) "It is all right to be angry with your friends, but try not to be angry with your parents."
C) "You appear upset about the diagnosis. Let's talk about your feelings."
D) "You learn quickly and will probably handle the difficult treatments very well."

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Accepted Answer

This option acknowledges and validates the client's feelings, and offers to discuss them further. It is important to address the client's emotions and offer support in coping with them. The other options either dismiss or minimize the client's emotions, or make assumptions about their abilities without addressing their feelings.

Question 8

Which of the following is a common stressor that influences self-concept by way of role performance?&#10;A) Job loss&#10;B) Pregnancy&#10;C) Societal attitudes&#10;D) Promotion at work

Accepted Answer

The answer of Which of the following is a common...

Question 9

A client who has developed an intimate relationship is most concerned about the interactions that she has with her family,and is in the process of establishing a positive view of herself.This client is meeting the developmental needs of which of the following age groups?

A) 12- to 20-year-olds
B) Early 20s to mid-40s
C) Mid-40s to mid-60s
D) Late 60s and older

Accepted Answer

The age group that is most concerned with establishing intimate relationships and developing a positive view of themselves is the Early 20s to mid-40s age group, according to Erik Erikson's psychosocial development theory.

Question 10

A 76-year-old client who recently lost his wife is admitted for surgery.Which of the following behaviours would alert the nurse that the client has an alteration in the integrity stage of his psychosocial development?

A) Accepting his own limitations
B) Verbalizing fear about the surgery
C) Expressing his thoughts about his care
D) Demanding excessive assistance from his daughter

Accepted Answer

Demanding excessive assistance from his daughter would indicate that the client is struggling with the integrity versus despair stage of psychosocial development, as he may be feeling a sense of hopelessness or loss of control due to the recent loss of his wife. Accepting his limitations and expressing his thoughts about his care are healthy coping mechanisms, while verbalizing fear about surgery is a common response and may not necessarily indicate an alteration in psychosocial development.

Question 11

The nurse is working with a client who is manifesting behaviours that are consistent with a negative self-concept.The nurse has observed that the client demonstrates which of the following behaviours?&#10;A) Frequent eye contact&#10;B) A passive attitude&#10;C) Independence in self-care&#10;D) An interest in the surroundings

Accepted Answer

The answer of The nurse is working with a client...

Question 12

A prostitute infected with the human immunodeficiency virus (HIV)and severe complications is being cared for on a medical unit.The nurse is seeking to develop a therapeutic relationship with the client.Which of the following statements best reflects the nurse's attempt to support the client's self-exploration?

A) "What type of support do you feel you need?"
B) "Don't be embarrassed by your former occupation."
C) "On what type of schedule do you think you could realistically eat your meals without being nauseated?"
D) "The people who work here are professionals and will try not to judge your past actions."

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Accepted Answer

The answer of A prostitute infected with the human immunodeficiency...

Question 13

When the nurse asks the client,&#34;What do you see as your personal strengths?&#34;,what is she evaluating?&#10;A) The client's identity&#10;B) The client's body image&#10;C) The client's role performance&#10;D) The client's identity stressors

Accepted Answer

The answer of When the nurse asks the client,&#34;What do...

Question 14

A client has been hospitalized for an extended time while receiving therapies for lung cancer.The client has become very depressed,refuses to participate in personal grooming,and does not want visitors.To assist in achieving resolution of the client's problem,what should the nurse do?

A) Encourage the client to get washed and dressed independently.
B) Help the client think positively instead of negatively.
C) Contact a support group and explore a psychological consultation.
D) Encourage the client to become more independent and return to prior activities.

Accepted Answer

The answer of A client has been hospitalized for an...

Question 15

Which age group is most likely to engage in practices harmful to their health?&#10;A) Toddlers&#10;B) Adolescents&#10;C) Young adults&#10;D) Older adults

Accepted Answer

The answer of Which age group is most likely to...

Deck 25: Self-Concept