Question 1

A verbally abusive partner has told a significant other many negative comments over the years. In the crisis center, the nurse would anticipate that the patient may have which self-concept deficits?&#10;A) Body image&#10;B) Role confusion&#10;C) Rigidity&#10;D) Yearning

Accepted Answer

Over the years of marriage, the significant other incorporates this devaluation into his or her own self-concept, negatively affecting body image. The way others view a person's body and the feedback offered are also influential on body image and self-concept. Role confusion is part of a developmental task (identity versus role confusion) for adolescents. Rigidity and yearning are not components of self-concept.

Question 2

A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?&#10;A) A patient is unsure about job expectations in a fast-paced company.&#10;B) A patient has to travel for work and misses children's birthdays.&#10;C) A patient feels less of a man after a leg amputation.&#10;D) A patient loses a job from the company's downsizing.

Accepted Answer

Role conflict results when a person has to simultaneously assume two or more roles that are inconsistent, contradictory, or mutually exclusive-for example, when a patient has to travel for work and misses children's birthdays. Role ambiguity is also common in employment situations. In complex, rapidly changing, or highly specialized organizations, employees often become unsure about job expectations. Feeling less of a man after a leg amputation is a body image and self-concept/self-esteem problem. Losing a job can lead to low self-esteem or loss of job identity.

Question 3

A nurse is evaluating a patient's self-concept. Which key indicator will the nurse use?&#10;A) Drug abuse history&#10;B) Nonverbal behavior&#10;C) Personal journal entries&#10;D) Posts on social media

Accepted Answer

Key indicators of a patient's self-concept are nonverbal behaviors. A history of drug abuse does not necessarily indicate current self-concept, and people who do not have a drug abuse history may have a low self-concept. It would be an invasion of privacy and trust for a nurse to read a patient's personal journal or social media posts.

Question 4

A nurse is caring for a postoperative mastectomy patient. Which action is a priority for increasing self-awareness?&#10;A) Solving problems for the patient before developing insight&#10;B) Using communication skills to clarify family and patient expectations&#10;C) Telling the patient that it will be fine because many others have survived&#10;D) Rotating nursing personnel in the patient's care, so the patient can talk to many people

Accepted Answer

Increase the patient's self-awareness by allowing him or her to openly explore thoughts and feelings. A priority nursing intervention is the expert use of therapeutic communication skills to clarify the expectations of a patient and family. Interventions designed to help a patient reach the goal of adapting to changes in self-concept or attaining a positive self-concept are based on the premise that the patient first develops insight and self-awareness concerning problems and stressors and then acts to solve the problems and cope with the stressors. Reassurance that a person will do fine dismisses any potential concerns the patient may have. Rotating nursing personnel does not allow time for the patient to build rapport with any one nurse.

Question 5

A nurse is assessing a patient for possible altered self-concept. Which assessment finding is consistent with altered self-concept?&#10;A) Appropriately dressed with clean clothes&#10;B) Hesitant to express opinions&#10;C) Independent attitude&#10;D) Holds eye contact

Accepted Answer

Hesitant to express views or opinions is a behavior suggestive of altered self-concept. Holds eye contact, independent attitude, and appropriate appearance are all signs of normal self-concept.

Question 6

Which individual is most likely to need the nurse's assistance in coping with identity confusion?&#10;A) A 49-year-old male with stable employment&#10;B) A 35-year-old recently divorced mother of twins&#10;C) A 22 year old in the third year of college&#10;D) A 50-year-old self-employed woman

Accepted Answer

Identity confusion results when people do not maintain a clear, consistent, and continuous consciousness of personal identity. A newly divorced woman would be trying to adapt to a new lifestyle of being single while handling parenting of twins as a single parent. This situation could lead to identity confusion. A college sophomore would have had at least 2 years to adjust to the new life setting, and a self-employed woman would likely be content with creating her own employment opportunity. There is no indication that the middle-aged man with stable employment should have identity confusion.

Question 7

A nurse is assessing a group of adolescents. Which person is most likely to have the highest self-esteem?&#10;A) Latino adolescent female who has strong ethnic pride&#10;B) Caucasian boy who lives below federal poverty level&#10;C) African-American adolescent male who has severe acne&#10;D) Adolescent who was suspended twice from high school

Accepted Answer

When cultural identity is central to self-concept and is positive, cultural pride and self-esteem tend to be strong. Environmental stressors such as low-income, body image stressors such as acne, and role performance failure often influence self-esteem negatively.

Question 8

The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. Which goal is a priority at this time?&#10;A) Identifying local self-help groups before being discharged from the program&#10;B) Stating a plan to never be tempted by illicit substances after discharge&#10;C) Staying away from all triggers that cause substance abuse&#10;D) Recognizing personal areas of weakness to grow stronger

Accepted Answer

Look for strengths in both the individual and the family, and provide resources and education to turn limitations into strengths, such as local self-help groups. It is not realistic to avoid ALL triggers that can result in addictive behaviors. It is unrealistic to believe that the patient will never be tempted because temptation can arise from multiple sources. On the other hand, an appropriate priority would be to recognize that triggers will arise and that the patient should learn how to handle being confronted in the post-discharge setting. Having a person talk about weaknesses without recognizing a person's strengths could be a trigger to return to an addictive lifestyle, so this would not be the most appropriate priority.

Question 9

A male patient states, &#34;I'm such a loser. I only had that job for a month.&#34; Which outcome criteria will the nurse add to the patient's care plan?&#10;A) The patient will verbalize two life areas in which he functions well.&#10;B) The patient will find new employment before the next clinic visit.&#10;C) The patient will confront a former boss about previous work problems.&#10;D) The patient will identify two reasons why he is considered a bad employee.

Accepted Answer

Verbalizing two life areas in which a person functions well is an individualized measurable outcome that is realistic. Confronting a former boss could have physical and emotional repercussions for the patient. If the patient is voicing that he has problems obtaining employment, then putting extra pressure to obtain employment would be detrimental to the patient and does not reflect a supportive and caring nursing outcome. Focusing on the negative of why the patient is considered a bad employee is not as beneficial as focusing on strengths.

Question 10

An adult son is adjusting to the idea of his chronically ill parents moving into his family home. The community health nurse is assessing the adult son for potential stressors secondary to the new family living arrangement. Which stressor will the nurse assess for in this adult son?

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

Accepted Answer

Role overload involves having more roles or responsibilities within a role than are manageable. Role overload is common in individuals who unsuccessfully attempt to meet the demands of work and family while trying to find some personal time. Role confusion is an aspect of the developmental task of adolescence and young adulthood (identity versus role confusion). Role ambiguity involves unclear role expectations. Role performance is the way in which individuals perceive their ability to carry out significant roles; it is not a stressor unless it is judged ineffective. There is no data in the question to indicate this.

Question 11

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. Which developmental stage is the second man exhibiting?

A) Mistrust
B) Inferiority
C) Generativity
D) Self-absorption

Accepted Answer

The answer of Two 50-year-old men are discussing their Saturday...

Question 12

A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?&#10;A) Stressful life events and scholarships&#10;B) Very high self-esteem and work failure&#10;C) Health problems and avoidance of conflict&#10;D) Stress management and improving self-esteem

Accepted Answer

The answer of A nurse is developing a drinking prevention...

Question 13

While gathering an adolescent's health history, the nurse recognizes that the patient began to act out behaviorally and engaged in risky behavior when the patient's parents divorced. Which information will the nurse gather to determine situational low self-esteem?

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

Accepted Answer

The answer of While gathering an adolescent's health history, the...

Question 14

The nurse is caring for an older-adult patient. Which technique will the nurse use to enhance an older-adult patient's self-concept?&#10;A) Discussing current weather&#10;B) Encouraging patients to sing&#10;C) Reviewing old photos with patients&#10;D) Allowing patients extra computer time

Accepted Answer

The answer of The nurse is caring for an older-adult...

Question 15

A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?&#10;A) Self-concept is how a person feels about others.&#10;B) Self-concept is how a person thinks about others.&#10;C) Self-concept is how a person feels about oneself.&#10;D) Self-concept is how a person thinks about oneself.

Accepted Answer

The answer of A nurse is teaching a patient about...

Question 16

A nurse grimaces while changing a patient's colostomy bag. Which effect will the nurse's behavior most likely have on the patient?&#10;A) Assist recovery by using honest communication.&#10;B) Motivate the patient to increase physical activity.&#10;C) Promote development of a negative body image.&#10;D) Develop a kind nickname for the colostomy bag.

Accepted Answer

The answer of A nurse grimaces while changing a patient's...

Question 17

A nurse is assessing a patient's self-concept. Which area should the nurse assess first?&#10;A) Role performance&#10;B) Vital signs&#10;C) Anxiety&#10;D) Morals

Accepted Answer

The answer of A nurse is assessing a patient's self-concept....

Question 18

A nurse is caring for a patient who is dealing with the developmental task known as initiative versus guilt. The nurse is providing care to which patient?&#10;A) A 3-week-old neonate&#10;B) A 5-year-old kindergarten student&#10;C) An 11-year-old student&#10;D) A 15-year-old high school student

Accepted Answer

The answer of A nurse is caring for a patient...

Question 19

A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?&#10;A) One component is identity.&#10;B) One component is coping.&#10;C) One component is body image.&#10;D) One component is role performance.

Accepted Answer

The answer of A nurse is teaching a patient about...

Question 20

A 9-year-old is proudly telling the nurse about mastering the yellow belt in a martial arts class. Which developmental stage is the child exhibiting?&#10;A) Initiative versus guilt&#10;B) Industry versus inferiority&#10;C) Identity versus role confusion&#10;D) Autonomy versus shame and doubt

Accepted Answer

The answer of A 9-year-old is proudly telling the nurse...

Question 21

A nurse is assessing a group of patients. Match the assessment finding to the area the nurse is assessing.

Disturbed body image

A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.

Accepted Answer

The answer of A nurse is assessing a group of...

Question 22

A nurse is assessing a group of patients. Match the assessment finding to the area the nurse is assessing.

Disturbed body image

A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.

Accepted Answer

The answer of A nurse is assessing a group of...

Question 23

A nurse is assessing a patient's self-concept. Which areas will the nurse include? (Select all that apply.)&#10;A) Identity&#10;B) Body image&#10;C) Coping behaviors&#10;D) Significant others' support&#10;E) Availability of insurance

Accepted Answer

The answer of A nurse is assessing a patient's self-concept....

Question 24

A nurse is assessing a group of patients. Match the assessment finding to the area the nurse is assessing.

Disturbed body image

A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.

Accepted Answer

The answer of A nurse is assessing a group of...

Question 25

A nurse is assessing a group of patients. Match the assessment finding to the area the nurse is assessing.

Disturbed body image

A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.

Accepted Answer

The answer of A nurse is assessing a group of...

Deck 34: Self-Concept