Chapter 33 Practice Questions - Self Concept Flashcards

1
Q

When caring for an older-adult patient, which technique will the nurse use to enhance an older-adult patient’s self-concept?

a. Discussing current weather
b. Encouraging patients to sing
c. Reviewing old photos with patients
d. Allowing patients extra computer time

A

c. Reviewing old photos with patients

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2
Q

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 help in determining 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?

A

b. How the patient views behaviors?

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3
Q

A nurse is assessing a group of adolescents. Which person is most likely to have the highest self-esteem?

a. Latino adolescent female who has strong ethnic pride.
b. Caucasian boy who lives below federal poverty level.
c. African-American adolescent male who has severe acne.
d. Adolescent who was suspended twice from high school.

A

a. Latino adolescent female who has strong ethnic pride.

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4
Q

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?

a. A 3-week-old neonate
b. A 5-year-old kindergarten student
c. An 11-year-old student
d. A 15-year-old high school student

A

b. A 5-year-old kindergarten student

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5
Q

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?

a. Body image
b. Role confusion
c. Rigidity
d. Yearning

A

a. Body image

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6
Q

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

A

d. Self-absorption

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7
Q

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

A

d. Role overload

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8
Q

nurse grimaces while changing a patient’s colostomy bag. Which effect will the nurse’s behavior most likely have on the patient?

a. Assist recovery by using honest communication.
b. Motivate the patient to increase physical activity.
c. Promote development of a negative body image.
d. Develop a kind nickname for the colostomy bag.

A

c. Promote development of a negative body image.

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9
Q

A male patient states, “I’m such a loser. I only had that job for a month.” Which outcome criteria will the nurse add to the patient’s care plan?

a. The patient will verbalize two life areas in which he functions well.
b. The patient will find new employment before the next clinic visit.
c. The patient will confront a former boss about previous work problems.
d. The patient will identify two reasons why he is considered a bad employee.

A

a. The patient will verbalize two life areas in which he functions well.

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10
Q

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?

a. One component is identity.
b. One component is coping.
c. One component is body image.
d. One component is role performance.

A

b. One component is coping.

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11
Q

Which individual is most likely to need the nurse’s assistance in coping with identity confusion?

a. A 49-year-old male with stable employment
b. A 35-year-old recently divorced mother of twins
c. A 22-year-old in the third year of college
d. A 50-year-old self-employed woman

A

b. A 35-year-old recently divorced mother of twins

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12
Q

A nurse is assessing a patient for possible altered self-concept. Which assessment finding is consistent with altered self-concept?

a. Appropriately dressed in clean clothes
b. Hesitant to express opinions
c. Independent attitude
d. Holds eye contact

A

b. Hesitant to express opinions

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13
Q

A nurse is caring for a postoperative mastectomy patient. Which action is a priority for increasing self-awareness?

a. Solving problems for the patient before developing insight
b. Using communication skills to clarify family and patient expectations
c. Telling the patient that it will be fine because many others have survived
d. Rotating nursing personnel in the patient’s care, so the patient can talk to many
people

A

b. Using communication skills to clarify family and patient expectations

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14
Q

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?

a. Identifying local self-help groups before being discharged from the program
b. Stating a plan to never be tempted by illicit substances after discharge
c. Staying away from all triggers that cause substance abuse
d. Recognizing personal areas of weakness to grow stronger

A

a. Identifying local self-help groups before being discharged from the program

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15
Q

A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?

a. Self-concept is how a person feels about others.
b. Self-concept is how a person thinks about others.
c. Self-concept is how a person feels about oneself.
d. Self-concept is how a person thinks about oneself.

A

d. Self-concept is how a person thinks about oneself.

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16
Q

A nurse is evaluating a patient’s self-concept. Which key indicator will the nurse use?

a. Drug abuse history
b. Nonverbal behavior
c. Personal journal entries
d. Posts on social media

A

b. Nonverbal behavior

17
Q

A nurse is assessing a patient’s self-concept. Which area should the nurse assess first?

a. Role performance
b. Vital signs
c. Anxiety
d. Morals

A

a. Role performance

18
Q

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?

a. Initiative versus guilt
b. Industry versus inferiority
c. Identity versus role confusion
d. Autonomy versus shame and doubt

A

b. Industry versus inferiority

19
Q

A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?

a. Stressful life events and scholarships
b. Very high self-esteem and work failure
c. Health problems and avoidance of conflict
d. Stress management and improving self-esteem

A

d. Stress management and improving self-esteem

20
Q

A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?

a. A patient is unsure about job expectations in a fast-paced company.
b. A patient has to travel for work and misses children’s birthdays.
c. A patient feels less of a man after a leg amputation.
d. A patient loses a job from the company’s downsizing.

A

b. A patient has to travel for work and misses children’s birthdays.

21
Q

A nurse is assessing a patient’s self-concept. Which areas will the nurse include? (Select all that apply.)

a. Identity
b. Body image
c. Coping behaviors
d. Significant others’ support
e. Availability of insurance

A

a. Identity

b. Body image

c. Coping behaviors

d. Significant others’ support

22
Q

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

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.

  1. Identity confusion
  2. Disturbed body image
  3. Role performance
  4. Low self-esteem
A
  1. B
  2. A
  3. D
  4. C