C. CH 37 Self-Concept Flashcards
The nurse is preparing a care plan for a patient with the nursing diagnosis of Ineffective Coping. The patient has had a mastectomy and refuses to participate in the care of the surgical site. What would be an appropriate short-term goal for the patient?
A) The patient will look at the surgical site in a mirror within 2 days.
B) The patient will assist with the dressing change.
C) The nurse will change the dressing while the patient is hospitalized.
D) The nurse will take a picture of the site to allow the patient to view it when she wishes.
A) The patient will look at the surgical site in a mirror within 2 days.
Nursing interventions to address poor self-concept include which of the following? Select all that apply.
A) Offer praise honestly
B) Role model self-confidence
C) Emphasize positive attributes in patients
D) Assist patients in setting goals that may be tough to reach
E) Teach patients to accept responsibility for themselves
A) Offer praise honestly
B) Role model self-confidence
C) Emphasize positive attributes in patients
E) Teach patients to accept responsibility for themselves
A nursing instructor has just finished discussing therapeutic communication with a group of students. Which statement by a student indicates a need for further education? Select all that apply.
A) A nurse must possess self-awareness to develop therapeutic relationships with her patients.
B) Developing trust is essential in therapeutic relationships.
C) Showing sympathy to your patients helps in developing therapeutic relationships.
D) Effective communication is the key to therapeutic communication.
E) Establishing rapport is not needed in a therapeutic relationship.
C) Showing sympathy to your patients helps in developing therapeutic relationships.
E) Establishing rapport is not needed in a therapeutic relationship.
A student nurse has recently started a new job in a long-term care facility. In the interview, the student was told that she would receive two weeks of orientation prior to working on her own. After the first night of work, the student was told she was now allowed to work on her own. This situation may lead to which of the following? A) Role conflict B) Role ambiguity C) Role strain D) Role transition
A) Role conflict
A newly married patient is attempting to fulfill the role of wife, professional, and lover. She tells the nurse that she does not feel that she is fulfilling any of the roles well. The nurse will document this as which of the following? A) Role strain B) Role ambiguity C) Role conflict D) Role transition
A) Role strain
Which patient is at greatest risk of developing a damaged self-concept during a period of increased stress?
A single mother with a supportive family
A married female with a large network of friends
An elderly female who is newly widowed
A teenager who is active in his church
An elderly female who is newly widowed
Which patient is at greatest risk of developing a damaged self-concept during a period of increased stress?
A single mother with a supportive family
A married female with a large network of friends
An elderly female who is newly widowed
A teenager who is active in his church
An elderly female who is newly widowed
A group of nursing students is attending a seminar on self-concept. Which statement by a student concerning self-esteem indicates a need for further education?
A) Children whose parents set limitations on their behavior have higher self- esteem.
B) Parental acceptance helps to increase a childs self-esteem.
C) Clear expectations set by parents help to increase a childs self-esteem.
D) Children who agree with their parents opinions have higher self-esteem.
D) Children who agree with their parents opinions have higher self-esteem.
A patient is describing how he thinks others see him. This is a description of the patients A) self-awareness B) social self C) self-concept D) self-perception
B) social self
Asking a patient to describe himself is one way to assess their: self-concept. self-knowledge. self-expectation. social self.
self-concept.
A newlywed couple has moved to another city due to a job opportunity. The couple would be at risk for alteration in self-concept related to A) Inadequate coping B) Role strain C) Anxiety D) Stress
A) Inadequate coping
A nurse student states, I feel good that I put an indwelling catheter in my patient without any problem. This demonstrates which factor affecting self-concept? A) Culture B) Inadequate coping C) Stress tolerance D) Values
C) Stress tolerance
A nurse visits a 60-year-old diabetic patient in his home after the patients above-the- knee amputation of his left leg. The patient 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 patients reduced self-esteem?
Lethargy
Withdrawal
Self-care deficit
Lack of interest
Self-care deficit
A nurse visits a 60-year-old diabetic patient in his home after the patients above-the- knee amputation of his left leg. The patient 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 patients reduced self-esteem?
Lethargy
Withdrawal
Self-care deficit
Lack of interest
Self-care deficit
When the paraplegic patient demonstrates the ability to cope with his personal deficiencies and to maximize his strengths, the nurse determines that the patient has developed Self-determination Self-evaluation Self-esteem Self-image
Self-esteem
A soldier has lost his right leg in a roadside bomb. This accident will affect his
Body image
Self-evaluation
Self-perception
Ideal self
Body image
A patient states to you, I am not smart enough to learn how to take of my mother, and I just dont think I can do it. This is an example of
Self-perception
Self-knowledge
Self-expectation
Social self
Self-knowledge
A nurse wants to know about the patients self-perception. Which of the following questions will assess for the patients self-perception?
- How do you view yourself in regards to your importance both in your job and in your life?
- Do you feel people appreciate your accomplishments in your career? Do you like your life?
- Can I ask you a question about your life? Are you aware of any failings you have experienced?
- People with disabilities often feel threatened in their self-concept. Do you feel threatened?
- How do you view yourself in regards to your importance both in your job and in your life?
The function of self-concept in human beings is to serve as a frame of reference that
A) Identifies areas of strength and weakness
B) Processes external stimuli from the environment
C) Evaluates events as they are occurring in life
D) Influences how one handles life situations
D) Influences how one handles life situations
What term best describes a persons sense of his or her own adequacy and worth? A) Esteem B) Self-esteem C) Love D) Self-actualization
B) Self-esteem
