Deck 40: Self-Concept

Question 1

A nurse always addresses clients by the preferred name when entering a client's home or room. What is the nurse facilitating by this action?

A) A sense of self and worth
B) Reorientation to who they are
C) Personal strengths
D) Negative self-concept

Answer 1

A sense of self and worth

Question 2

An adolescent rapidly develops secondary sex characteristics and body changes. What should the nurse assess to determine how these changes might affect the adolescent's self-concept?

A) Expectations of the parents
B) Developmental environment
C) Meaningful use of time
D) Understanding of changes

Answer 2

Understanding of changes

Question 3

The children of immigrants may have different values and practices than do their parents, causing them to abandon their parents' cultural beliefs. What is this called?

A) Cultural expectations
B) Cultural competence
C) Cultural dissonance
D) Cultural modernization

Answer 3

Cultural dissonance

Question 4

In which age group do interpersonal losses play a role in disturbances in self-concept?

A) Child
B) Teenager
C) Adult
D) Older adult

Question 5

A child learns to feel secure within the bonds of his immediate family by interacting with his caretakers. What is the term for this process?

A) Self-reflection
B) Adaptation
C) Attachment
D) Globalization

Question 6

As a child grows, he unconsciously develops a component of self-concept based on the image of role models. What part of the self-concept does this describe?

A) False self
B) Evolving self
C) Self-knowledge
D) Self-expectations

Question 7

A nurse caring for critically ill clients uses interventions to help clients maintain a sense of self. Which of the following are recommended interventions?

A) Disregard the client's status.
B) Do not use touch out of respect for the client's privacy.
C) Converse with the client about his or her life experience.
D) Do not acknowledge or allow expression of negative feelings.

Question 8

Which term best describes an individual's self-concept?

A) Self-esteem
B) Self-actualization
C) Self-realization
D) Self-image

Question 9

A teenager describes herself as "tall, attractive, female, student, intelligent." What part of her self-concept is she describing?

A) Self-expectations
B) Self-esteem
C) Self-knowledge
D) Self-evaluation

Question 10

A young woman client admits to a nurse that she cannot control her jealousy when she and her partner are out together and states, "It's like we're back in high school again." This is an example of which identity disorder?

A) Self-actualization
B) Identity diffusion
C) Depersonalization
D) Lack of self-esteem

Question 11

Who or what plays the most influential role in the internalization of self-concept in children?

A) Peers
B) Parents
C) School
D) Church

Question 12

What is the name given to the evaluative and affective component of the self-concept?

A) Ideal self
B) Body image
C) Self-esteem
D) Self-knowledge

Question 13

Which statement is an example of the effect of aging, illness, or trauma on self-concept?

A) Society values the wisdom of aging
B) Society devalues aging and chronic illness
C) Few people take a healthy body for granted
D) Most people accept the inevitability of illness

Question 14

What might a nurse ask during a health history to assess personal identity?

A) "Tell me how your illness has affected you in your job."
B) "Tell me what you do for fun and what you do for work."
C) "How do you believe others see you? Why do you believe that?"
D) "How would you describe yourself to others?"

Question 15

During a self-esteem assessment of a young woman undergoing a complicated divorce, a nurse states: "Tell me something about the moral-ethical principles that govern your life." What aspect of self-esteem is the nurse assessing?

A) Significance
B) Virtue
C) Power
D) Competence

Question 16

Which strategy can be used to help clients overcome powerlessness?

A) Encourage clients to identify their weaknesses.
B) Encourage clients to identify their strengths.
C) Provide advice on how to handle problems.
D) Set goals and make decisions for the client.

Question 17

The wife of an older adult man has recently died. The couple was married for 32 years. What part of the man's self-concept may be influenced by this loss?

A) Ideal self
B) Global self
C) Body image
D) False self

Question 18

During an assessment of a client's self-esteem, a man age 45 years tells the nurse that he lost his job due to downsizing and has been unemployed for six months. What would be the appropriate response from the nurse?

A) "You shouldn't feel bad about losing a job; it happens to everyone."
B) "Do you need your job to support a family?"
C) "How has losing your job affected your life and the lives of your significant others?"
D) "There are more important things in life to worry about other than losing a job."

Question 19

An infant learns that the physical self is different from the environment. What term is used to describe this stage of self-concept?

A) Self-awareness
B) Self-recognition
C) Self-definition
D) Self-concept

Question 20

A nurse working with clients in a health care facility influences them to make healthy lifestyle choices. According to Coopersmith, which base of self-esteem for the nurse does this example represent?

A) Power
B) Significance
C) Competence
D) Virtue

Question 21

The nurse is assessing his client's self-concept. The client is status post-myocardial infarction and is due to be discharged tomorrow. Which of the following focuses will give the nurse the most information about the client's self-concept? Choose all that apply.

A) Body image
B) Gender identity
C) Self-esteem
D) Role performance
E) Sexual orientation

Question 22

The nurse is caring for a man client, age 47 years, who suffers from myasthenia gravis. He has periods of great weakness and is unable to do the things for his family that he would like to. He tells the nurse that he is not worth much these days. Knowing that sometimes clients focus on things they cannot do, which of the following statements by the nurse might be helpful?

A) I'm sure that things will be better soon.
B) Some days are like that.
C) Does your family pitch in and help you?
D) What are some of the things you do well?

Question 23

A female client, prominent in the local media, has had surgery for a colostomy. The client avoids looking at the colostomy and refuses visitors. Identify the most appropriate nursing diagnosis.

A) Altered self-esteem related to colostomy and poor self-image
B) Disturbed body image related to colostomy as evidenced by avoidance of colostomy
C) Fear of rejection by others related to colostomy and altered self-image
D) Altered role performance related to inability to cope with visitors

Question 24

While interviewing a compulsive gambler 45 years of age, the woman blames her loss of job, estrangement from spouse, and lack of friends on destiny. The nurse interprets this information as indicative of which aspect of altered self-concept?

A) Self-care deficit
B) Self-destructive behavior
C) Behavioral changes
D) Anxiety and depression

Question 25

A nurse who works on the pediatric unit wants to help a child cope with the loss of a leg in a hunting accident. What would the nurse implement to help the child express feelings?

A) Support from other family members
B) Television cartoons
C) Story books
D) Dolls or animals

Question 26

A school nurse is teaching parents how to build self-esteem in their children. Which is a recommended strategy?

A) Use praise and compliments judiciously
B) Wait for your child to initiate conversation
C) Focus on remedying the child's negative qualities
D) Give your child many opportunities to display abilities

Question 27

A client states, "I am not smart enough to learn how to take care of my mother, and I just don't think I can do it." This is an example of ...

A) Self-perception
B) Self-knowledge
C) Self-expectation
D) Social self

Question 28

To obtain subjective data about a burn client's self-concept, the nurse should do what?

A) Ask the client how she would describe herself.
B) Observe the client's interactions with others.
C) Document the client's lack of eye contact.
D) Note how the client conceals her wound.

Question 29

The nurse promotes the self-concept of the parents of an infant age 6 months admitted to the hospital with a fever and dehydration by doing what?

A) Telling the parents that the infant's condition was not their fault
B) Allowing the parents to participate in the infant's care
C) Encouraging the parents to visit the infant every other day
D) Educating the parents on health-maintenance behaviors

Question 30

The nurse is caring for a female client 64 years of age who is admitted for knee replacement. As the nurse performs the shift assessment, the client comments, I wouldn't mind getting old if it were not for the physical losses, like the wrinkles, all the drooping, and the wearing out of everything. People like to be around youthful, beautiful men and women; I feel so unattractive. Is the client correct about how society views older people? In general, which of the following does society emphasize and reward? Choose all that apply.

A) Wisdom for sharing
B) Youthfulness
C) Mentoring the inexperienced
D) Health and fitness
E) Physical attractiveness

Question 31

The nurse is attending a nursing conference about enhancing self-concept in relation to professional nursing practice. As the nurse is waiting for the first speaker to begin, she tries to recall what she knows and has read about this subject. Which of the following would be good for the nurse to keep in mind to enhance her self-concept as a professional nurse?

A) Don't worry about team esteem until your own is good.
B) Avoid your weaknesses until they become strengths.
C) Remember past errors so you do not repeat them.
D) You don't have to know everything to be a good nurse.

Question 32

A young woman has been in an automobile crash and sustained a laceration across the left side of her face, resulting in a large scar. What nursing diagnosis would be appropriate for this disfigurement?

A) Anxiety
B) Disturbed Body Image
C) Deficient Knowledge
D) Impaired Memory

Question 33

A nurse visits a diabetic client age 60 years in his home after the client's above-the-knee amputation of his left leg. The client appears disheveled and with poor hygiene. He also avoids making eye contact with the nurse. Which of the following is likely to occur as a result of the client's reduced self-esteem?

A) Lethargy
B) Withdrawal
C) Self-care deficit
D) Lack of interest

Question 34

The nurse is caring for a girl 13 years of age, who is admitted after taking some of her mother's sleeping pills. She is withdrawn and declines to eat or engage in conversation, except to say she doesn't like herself. The nurse is aware that potential causes of poor self-concept at this age can be related to which of the following? Choose all that apply.

A) Inability to accept bodily changes
B) Identify confusion
C) Failure to accept role responsibility
D) Failure to develop meaningful goals
E) Inability to resolve child versus adult roles

Question 35

The nurse cares for a successful chemical engineer, age 29 years, who is admitted with a respiratory infection. The client reports feeling more stress than ever since a job promotion six months ago and asks, Why would something so positive and wonderful cause so much stress for me? Which is an appropriate response by the nurse? Select all that apply.

A) All major life events can cause stress for us.
B) People vary greatly in their perception of what constitutes a crisis or stressor.
C) Your job promotion probably has nothing to do with the stress you feel.
D) Positive life events do not cause stress or illness.
E) Even positive life events can affect us in negative ways.