Question 1

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.

Accepted Answer

Body image, self-esteem, and role performance are all important components of self-concept that may be impacted by the client's recent myocardial infarction and impending discharge. Gender identity and sexual orientation may also be important aspects of self-concept for some clients, but they are not necessarily relevant in this particular scenario.

Question 2

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?

Accepted Answer

This statement encourages the client to focus on his strengths and abilities, rather than his limitations. It can help boost his self-esteem and remind him that he is still valuable to his family and others. Choices A and B might minimize the client's feelings or offer false hope, while choice C assumes that the family is not already helping and may not be appropriate for all clients.

Question 3

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.

Accepted Answer

The client's avoidance of looking at the colostomy suggests a disturbance in body image, which is best captured by option B. Option A focuses on self-esteem, which is related to but different from body image. Option C includes fear of rejection as a factor, which is not necessarily evident in this case. Option D is not directly related to the client's reluctance to receive visitors.

Question 4

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?

Accepted Answer

The woman's belief in destiny as the cause of her life difficulties indicates a self-destructive behavior, which is a reflection of an altered self-concept.

Question 5

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?

Accepted Answer

Dolls or animals can be used in play therapy to help the child express their feelings about the loss of their leg. The child can use the doll or animal to act out their emotions and experiences, which can help them process the trauma and come to terms with their new reality. While support from family members and the use of calming distractions like television cartoons and story books can also be helpful, dolls or animals are specifically tailored to facilitate emotional expression.

Question 6

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

Accepted Answer

Giving a child many opportunities to display their abilities can help build their self-esteem by showing them they are capable and competent. Waiting for a child to initiate conversation or focusing on remedying their negative qualities may not necessarily boost self-esteem. Using praise and compliments judiciously is important, but it should not be the only strategy used to build self-esteem.

Question 7

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 ...

Accepted Answer

The answer of A client states, "I am not smart...

Question 8

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

Accepted Answer

Asking the client how she would describe herself directly obtains subjective data about the client's self-concept. Observing interactions with others or noting physical behaviors may provide some insight, but it is not as direct or specific as asking about self-perception.

Question 9

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?

Accepted Answer

Allowing the parents to participate in the infant's care promotes their self-concept by making them feel like an important part of their infant's care team and that their contributions are valued. It also gives them a sense of control over the situation, which can help to decrease feelings of helplessness and anxiety.

Question 10

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.

Accepted Answer

Society often emphasizes and rewards youthfulness, physical attractiveness, and health/fitness. While wisdom and mentoring may be valued in certain contexts, they are not as highly prized in society as the qualities associated with youth and beauty.

Question 11

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?

Accepted Answer

It is important for the nurse to realize that she does not have to know everything to be a good nurse. Avoiding weaknesses and dwelling on past errors can lead to negative self-concept. Focusing on building self-esteem and confidence in her abilities will enhance her self-concept as a professional nurse.

Question 12

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?

Accepted Answer

A laceration across the left side of the face resulting in a large scar is likely to cause distress and impact the self-esteem of the young woman. Therefore, the most appropriate nursing diagnosis would be Disturbed Body Image.

Question 13

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?

Accepted Answer

Reduced self-esteem can lead to a self-care deficit, where the individual may neglect personal hygiene and other self-care activities.

Question 14

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.

Accepted Answer

At 13 years of age, adolescents often struggle with accepting bodily changes (A) due to puberty, experience identity confusion (B) as they try to understand who they are, and have difficulty resolving child versus adult roles (E) as they transition from childhood to adulthood.

Question 15

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.

Accepted Answer

A, B and E are appropriate responses by the nurse. A and B explain that any major life event can cause stress and that people's perceptions of stressors vary, while E acknowledges the fact that even positive events can have negative effects on our emotions and well-being. Choice C is not appropriate as it dismisses the client's feelings and experiences, and Choice D is incorrect as positive events can indeed cause stress or illness.

Quiz 40: Self-Concept