Fundies Chapter 41: Self-Concept PrepUs

Body image Self-esteem Personal identity Role performance

A mental health nurse has been asked to be a guest speaker at a seminar on self-concept. When describing the normal patterns of self-concept, which component would the nurse most likely address? Select all that apply. Self-perception Role performance Body image Self-esteem Personal identity

during infancy

A pediatric nurse understands the concepts surrounding the formation of self-concept and incorporates these concepts into the delivery of nursing care to the pediatric population. Based upon these concepts, when does an individual learn that the physical self is different from the environment? during the preschool years during the school-age years during adolescence during infancy

the man's increasing level of dependence on his children

Which of the following factors is most likely to present a challenge to the self-concept of a man 79 years of age? the man's increasing level of dependence on his children assisting his grandchildren with their college tuition costs financial pressures associated with the depletion of his savings the realization that his children are themselves undergoing age-related changes

fostering a sense of self

A nurse introduces herself to a visually impaired client, addresses the client by name, speaks to the client respectfully, and explains all the nursing activities. The nurse is implementing health promotion with this client by which mechanism? fostering a sense of self aiding goal formulation identifying strengths helping in positive self-evaluation

self-concept

Asking a client to describe himself is one way to assess his: self-expectation. self-concept. social self. self-knowledge.

Self-esteem disturbance

A student nurse who has not maintained healthy relationships with his or her peers would be at risk for what self-concept disturbance? Body image disturbance Altered role performance Self-esteem disturbance Personal identity disturbance

external locus of control.

During a health history, a client states, "Whatever happens, happens because of luck." The nurse interprets this statement as indicating: internal locus of control. external locus of control. self-efficacy. expectancy for success.

self-concept...

During an interview, the client tells the nurse, "I know who I am and I know my strengths and weaknesses." How will the nurse interpret this statement? social self. self-concept. self-expectation. self-evaluation.

Maximize the autonomy of residents in organizing their routines.

How can nurses who provide care in long-term care settings best enhance the self-esteem of older adults who reside in these facilities? Encourage residents to talk openly about their opinions. Maximize the autonomy of residents in organizing their routines. Ensure that residents are not presented with tasks that carry a risk of failure. Provide opportunities for the residents to engage with children and adolescents.

self-concept.

Preschoolers exhibit sexual curiosity. This builds the preschooler's: self-efficacy. cognition. self-concept. ideal self.

"How has the loss of your leg affected your body image?"

The nurse takes the health history of a soldier who lost the right leg in a roadside bomb. Which question will the nurse ask the client while performing the health history? "How has the loss of your leg affected your body image?" "Do you attend a support group of people who lost limbs?" "Has your family been a good support for you?" "Will you show me how you ambulate?"

Self-esteem

What term best describes a person's sense of his own adequacy and worth? Love Self-esteem Self-actualization Esteem

Role performance

Which term refers to our ability to execute societal expectations regarding role-specific behaviors? Role performance Body image Role conflict Personal identity

Provide the client with room to move around in, and lots of toys to interact with, while securing his colostomy so it does not get in his way.

A 2-year-old boy has had a bowel repair for gastroparesis. He is doing well but has a colostomy to aid in healing of the surgical bowel. What would be an appropriate nursing intervention for the client to enhance self-concept? Support and educate the client about health maintenance behaviors such as personal hygiene. Assist the client's parents in accepting their role as caregivers to a child with a colostomy. Provide the client with room to move around in, and lots of toys to interact with, while securing his colostomy so it does not get in his way. Educate the client's parents on how to provide a safe environment for him.

Self-evaluation

A 24-year-old man is suffering from depression. He has come to the clinic today for a follow-up visit with his provider and the nurse has been asked to provide some client education on the antidepressants he has been prescribed. When the nurse asks him how he is feeling today, he responds that he is feeling down because he feels as if he is a failure. This scenario best describes which dimension of self-perception? Social self Self-expectation Self-evaluation Self-knowledge

Disturbed personal identity related to the unresolved crisis of his wife's death

A 73-year-old man has been the primary caregiver for his wife, who has multiple sclerosis (MS). After 30 years with the disease she died and he has become increasingly withdrawn and refuses to leave the house. Which nursing diagnosis is most appropriate? Disturbed body image related to death of spouse and loss of the role of caregiver Low self-esteem related to feeling unloved now that his spouse has passed away Risk for altered self-esteem related to the recent death of his spouse Disturbed personal identity related to the unresolved crisis of his wife's death

"I want my crutches close to my bed."

A client had an above-the-knee amputation due to necrotizing fasciitis. Which statement by the client indicates an adaptive response? "I can see I am going to need lots of help." "I am worthless without both of my lower limbs." "I want my crutches close to my bed." "I am not a whole person anymore."

"You can speak with the doctor about all treatment options. I will stay with you while you talk to the doctor, if you like."

A client is requesting that the nurse speak with the health care provider regarding alternate treatment options. What comment by the nurse would be most appropriate to help the client identify and use personal strength? "You can speak with the doctor about all treatment options. I will stay with you while you talk to the doctor, if you like." "I wonder if your spouse would be willing to talk with the doctor for you? I will ask your spouse for you." "I will discuss treatment options with your doctor and let you know what is decided." "You are not helpless. When the doctor comes in you need to talk for yourself. I will stay with you while you talk."

Encourage participation in family health behaviors.

A client is telling the nurse about the client's two children, a toddler and a preschool-aged child. The client talks about providing them with colorful toys and puzzles and how much the client enjoys playing with them and reading to them. Which other strategies can be shared with the client to promote healthy development in the children? Make decisions for the children to model right from wrong. Encourage participation in family health behaviors. Discipline the children to establish boundaries. Demonstrate bad behavior to educate about good behavior.

Role strain

A client started a nursing program and is trying to balance going to school full-time, a part-time job, and spending time with family. The client states, "I am trying to do everything and doing nothing well." Which role problem is this client experiencing from this role transition? Role ambiguity Role agreement Role strain Role conflict

external locus of control.....

A nurse is attempting to provide education to a newly diagnosed diabetic. The client states, "It doesn't matter what I eat, my future health is up to God." The nurse understands that this client has: self-concept deficit internal locus of control. self-esteem deficit external locus of control.

"How do you view yourself in regard to your importance in your job and in your life?"

A client verbalizes experiencing a loss of control over life. Which follow-up question will the nurse ask this client? "How do you view yourself in regard to your importance in your job and in your life?" "Are you aware of any failings you have experienced in your life?" "Do you feel threatened in any way at your job or in your life?" "Do you feel people appreciate your accomplishments in your career?"

Self-expectation

A client who has multiple sclerosis (MS) has been diagnosed with ineffective coping related to a diagnosis of chronic health alteration. What outcome is least appropriate to include in a plan of care? Reports feeling better about himself. Integrates positive self-knowledge into self-concept. Communicates a sense of helplessness to his spouse. Communicates his feelings in a way that is comfortable.

Client's worry about the inability to continue work

A client who is diagnosed with renal failure has been informed about the need to start dialysis. Which assessment information supports the client is struggling with a change in life role? Client exhibits signs of posttraumatic stress disorder Client continues on with life as usual Client's worry about the inability to continue work Client's lack of interest in sexual relations with the spouse

"Now that it's scheduled, how are you feeling about the surgery that you will have?"

A client with breast cancer needs a bilateral mastectomy. Having already established a strong therapeutic partnership with the client, how can the nurse best assess the client's self-concept in light of this bodily change? "Now that it's scheduled, how are you feeling about the surgery that you will have?" "Do you have any friends or family members who have had breast cancer?" "Has anyone talked to you yet about your options for breast reconstruction?" "How do you think that you'll accommodate this change in your daily routines?"

External resource

A client with cancer has a family who is emotionally supportive of the client. Having a supportive family is which type of resource? Financial resource Internal resource External resource Professional resource

exhibits signs of grief.

A client with uncontrolled hypertension experienced a stroke a week ago, leading to significant motor losses. A successful and normal adaptive response to these new limitations is evident if the client: repeatedly states, "It is what it is." exhibits signs of grief. changes the subject when the nurse addresses activities of daily living (ADLs). refuses to participate in physiotherapy.

address the client's negative self-concept.

A construction worker age 33 years experienced a fall on a job site that resulted in a spinal cord injury. In recent days, the client has alluded to the fact that he feels "useless" because he now sees himself as "a burden instead of a provider." The nurse would be justified in choosing interventions to: temporarily perform all of the client's activities of daily living. enhance the client's mobility. address the client's negative self-concept. help the client develop a positive body image.

Disturbed Body Image related to colostomy as evidenced by avoidance of colostomy

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. Disturbed Body Image related to colostomy as evidenced by avoidance of colostomy Altered Role Performance related to inability to cope with visitors Altered Self-Esteem related to colostomy and poor self-image Fear of Rejection by Others related to colostomy and altered self-image

"What new behaviors might be necessary to help modify your current roles?"

A new mother of twins is struggling with role performance issues related to balancing the demands of motherhood with working outside the home. What question would be most appropriate to help the client move forward with a positive self-concept? "What new behaviors might be necessary to help modify your current roles?" "Why do you think it is so hard to raise two babies?" "Would it be an option for you to quit your job and stay home?" "What do you think makes this struggle that you feel?"

role strain.

A newly married client 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: role strain. role conflict. role ambiguity. role transition.

Older adult

A nurse integrates knowledge of developmental levels and their influence on self-concept when planning client care. The nurse would expect a client in which developmental stage to begin to examine the meaning of self? Preschooler Adolescent Older adult Young adult

difficulty making decisions inability to discuss a change in body function social withdrawal

A nurse is assessing a client and suspects that the client is experiencing a dysfunction in self-concept based on which behavioral findings? Select all that apply. inability to discuss a change in body function intensive eye contact taking on of additional responsibility difficulty making decisions social withdrawal

client's perception of the alteration client's view of the importance of the alteration on the body part or function feelings associated with the change in body image

A nurse is assessing a client who has experienced significant trauma affecting her body appearance. The nurse identifies a nursing diagnosis of Disturbed Body Image. When developing the plan of care, which information would be most important for the nurse to consider? Select all that apply. the conflict arising from a change in roles client's perception of the alteration feelings associated with the change in body image client's view of the importance of the alteration on the body part or function the medical treatment plan

Communicates a sense of helplessness to his spouse.

A nurse is assessing a client's self-perception. Which dimension is reflected by the client's statement, "I want to use my skills to become the best artist I can be"? Self-expectation Self-evaluation Social self Self-knowledge

The client refuses to meet visitors by saying she is tired.

A nurse is caring for a middle-age client who has recently been diagnosed with breast cancer. The nurse determines that the client is experiencing a self-concept dysfunction when the client engages in which behavior? The client often forgets to take prescribed medications on time. The client refuses to meet visitors by saying she is tired. The client misses follow-up appointments. The client often overeats, saying she wants to live well the rest of her life.

"I find it very easy to offer my opinions and tell people what I need." "I have several very close friends that I depend on." "I've been through a lot and came back even stronger."

A nurse is conducting the initial assessment of a client admitted to the hospital for surgery. The nurse determines that the client has a healthy self-esteem based on which statement? Select all that apply. "When it comes to making decisions, I'm not always so sure I make the right one." "I've been through a lot and came back even stronger." "I have several very close friends that I depend on." "I find it very easy to offer my opinions and tell people what I need." "I don't know why people can't always do their best all the time."

Explain that his life experience will help to develop a plan of care.

A nurse is developing a plan of care for an older adult to promote self-esteem. What intervention would be most appropriate to include? Explain that getting older is part of life and the client needs to start thinking about what will happen when he dies. Explain that his life experience will help to develop a plan of care. Encourage the client to do activities that younger people do. Explain that the younger generation is fast-moving and it's best to be around just those of the same generational age.

The client will be able to stop smoking.

A nurse is educating a client about smoking cessation. The nurse determines that the client has high self-efficacy. Which outcome would the nurse expect to occur? The client will be able to stop smoking. The client will focus on another activity. The client will voice reasons for not being able to quit. The client will refrain from participating in trying to quit.

"I feel like I'm so ugly." "What good am I?" "I'm such a horrible person." "Who would want to marry me now the way I look?"

A nurse is reviewing the health history of a client. Which statement documented in the history would lead the nurse to suspect that the client has a negative self-concept? Select all that apply. "Who would want to marry me now the way I look?" "I like myself and my life." "I'm such a horrible person." "I feel like I'm so ugly." "What good am I?"

Have the client make "I" statements.

A nurse is working to change the behavior of a client experiencing personal identity problems. Which action would be most appropriate for the nurse to suggest when helping the client accept responsibility for herself? Encourage realistic goal setting. Have the client make "I" statements. Role model confident actions. Offer positive feedback.

"She has a beginning differentiation of self and non-self."

A pediatric nurse is caring for Beth, a 13-month-old who is admitted with a respiratory infection. Her mother says she wants her child to develop in the best way possible. She asks the nurse, "What kind of self-concept should Beth have at her age?" What is the nurse's best response? "She has a beginning differentiation of self and non-self." "Her sense of self is very consolidated at this age." "The differences between self and others are strong at this age." "She has developed no self-concept at this age."

uses available resources makes decisions related to his care

A rehabilitation nurse is caring for Steve Branson, a 23-year-old man, who has suffered a spinal cord injury and has tetraplegia. One of the rehabilitative goals for Steve is to attain adaptive patterns of behavior related to his injury. Which of the following would indicate that he is achieving this goal? Choose all that apply. refuses necessary help uses available resources depends on others for care makes decisions related to his care declines responsibility for his care

Limit visitation of friends.

A student nurse is preparing a care plan for a hospitalized school-age client focusing on ways to promote self-concept. Which intervention would not be appropriate? Limit visitation of friends. Provide age-appropriate activities. Allow for privacy. Teach parents about need for socialization.

External locus of control

An 18-year-old says that it was just bad luck that he got in a motor vehicle accident and broke his arm. What is the client demonstrating by saying this? External locus of control Expectancy Internal locus of control Control reasoning

"Did you do something wrong to your grandmother?" "Your grandmother will come back in a week." "You are not supposed to ask such questions."

An 8-year-old client whose grandmother died a week ago asks the parents about the grandmother's absence. Which statement by the parents could lead to a negative self-concept in the client? Select all that apply. "Did you do something wrong to your grandmother?" "Your grandmother is free from any pain now." "Your grandmother will come back in a week." "You are not supposed to ask such questions." "Your grandmother died because she was not getting better."

Setting goals

An adolescent client tells the nurse about asking oneself, "Do I like who I see in the mirror?" Which additional strategy can the nurse encourage the client to use to promote self-evaluation? Setting goals Allowing life to unfold Taking a self-improvement class Meeting friends

facilitate as many opportunities as possible for infant-parent attachment.

An infant who was born with Down syndrome, gastrointestinal anomalies, and cardiac defects has required nearly continuous hospitalization in the neonatal intensive care and pediatric care units of the hospital during her first year of life. To counteract the negative effects of prolonged hospitalization, the nurse should: give the parents details about their infant's daily routines. remind the parents that their infant's circumstances are just as nurturing as a home environment. educate the parents about the fact that the infant is less emotionally vulnerable than an infant with no cognitive deficits. facilitate as many opportunities as possible for infant-parent attachment.

Time spent on Facebook

The nurse is assessing a 16-year-old adolescent who has undergone an emergent appendectomy. The nurse notes the client has become more depressed as the shift progresses. Which activity by the client should the nurse question? Time spent on Facebook Visits from classmates Googling information about appendectomy Phone calls from family

Include a depression scale in the assessment of the client. Encourage the client to reminisce about the spouse. Address the client by her preferred name. Facilitate community services to engage the client in available activities.

The nurse is assessing an older client who lives alone and states, "My husband died 6 months ago. My friends have died. I have no one to talk to. I feel lost." What interventions would the nurse use to promote the client's self-esteem? Select all that apply. Encourage the client to reminisce about the spouse. Inform the client that the time for grieving is usually less than 6 months. Address the client by her preferred name. Facilitate community services to engage the client in available activities. Include a depression scale in the assessment of the client.

Encourage the client to identify strengths and ways to gain strengths she desires.

The nurse is assisting an adolescent female with the identification and recognition of personal strengths. Which of the following is a technique the nurse will employ? Encourage the client to reflect upon her life and reminisce. Encourage the client to learn from the negative events in her life. Define the client's strengths and convince the client of these strengths. Encourage the client to identify strengths and ways to gain strengths she desires.

Rapid changes

The nurse is caring for 13-year-old Carol, who is being seen in the clinic today. She is very worried that the doctor may need to look at her body. Her mother asks the nurse if this behavior is normal for this age. The nurse shares with the mother that the adolescent worries about which of the following related to her body? Intactness and mutilation Fitness and energy Sexuality and style Rapid changes

"No self-concept is present at birth."

The nurse is caring for a 26-year-old client who has just delivered a healthy female infant. The client says they want to be a good parent and help their child develop in the best way possible. They ask the nurse, "What kind of self-concept is an infant born with?" The nurse's best answer is: "No self-concept is present at birth." "The newborn has a beginning differentiation of self." "The sense of self is very consolidated at birth." "The differences between self and others are strong at birth."

Offer praise honestly.

The nurse is caring for a client that states, "I don't think I deserve to be happy. That's why my life is such a mess." Which nursing interventions would address the client's poor self-concept? Select all that apply. Teach clients to accept responsibility for themselves. Assist clients in setting goals that may be tough to reach. Emphasize positive attributes in clients. Role model self-confidence. Offer praise honestly.

unsatisfying career choice failure to accept role responsibility failure to develop meaningful goals

The nurse is caring for a middle-age client who is admitted after taking an overdose of benzodiazepines. The client states, "I lost my job and I am just a failure at everything." The nurse is aware that potential causes of poor self-concept at this age can be related to which factors? Choose all that apply. unsatisfying career choice failure to develop meaningful goals failure to accept role responsibility inability to accept bodily changes inability to resolve child versus adult roles

The client will look at the surgical site in a mirror within 2 days.

The nurse is preparing a care plan for client with the nursing diagnosis of Ineffective Coping. The client has had a mastectomy and refuses to participate in the care of the surgical site. What would be an appropriate initial goal for the client? The client will look at the surgical site in a mirror within 2 days. The client will assist with the dressing change. The nurse will take a picture of the site to allow the client to view it when she wishes. The nurse will change the dressing while the client is hospitalized.

Discuss the benefit of talking with others who have lost a limb.

The nurse is working on the rehabilitation unit caring for a 16-year-old client who has suffered a traumatic amputation of the left leg. During the physical assessment, the client comments to the nurse, "I hate the way I look now with my leg gone." Which action will the nurse take to support the client? Provide constant privacy to prevent embarrassment. Demonstrate fashions that conceal the loss of the leg. Discuss the benefit of talking with others who have lost a limb. Encourage the client to resume work to divert attention from the loss.

Schedule time every day to meet personal needs.

The nurse works in the emergency department and feels like they are becoming somewhat jaded about her nursing practice. The nurse talks to the supervisor about this and suggests making some goals for enhancing their self-concept as a professional nurse. Which of the following would be an important goal to establish that would build up the nursing self-concept? Schedule time every day to meet personal needs. Keep last error in mind so that it is not repeated. Avoid weaknesses until they become strengths. Pursue a doctorate in nursing education.

Speak with the father concerning the child's needs

The pediatric nurse is caring for a 3-year-old child who is admitted for pneumonia. The nurse notes the child is becoming more depressed, see note above. When similar actions occur the following day, which action should the nurse prioritize? Wake the child the next time the father visits Ask the family to bring a photo of the father Speak with the father concerning the child's needs Arrange for the child to talk with the father via Facetime

Communicates needs Accepts help Acts as a support for others

The rehabilitation nurse is caring for a female client age 62 years who has suffered a stroke and has recovered with only mild weakness of her left leg. One of the rehabilitative goals for the client is to attain and maintain adaptive patterns of behavior related to socialization and communication. Which of the following would indicate that she is achieving this goal? Choose all that apply. Frustrated related to need for help Communicates needs Acts as a support for others Isolates self Accepts help

Offering a simple explanation before initiating any procedure

Which nursing action helps to maintain a sense of self for clients? Asking the client to refrain from negative expressions Assessing weight and overall nutritional status Offering a simple explanation before initiating any procedure Maintaining the privacy of the client's room number

father is expected to play the role of father, wage earner, and cook for the family and is unsure of how to fulfill all of them.

Which of the following illustrates interrole conflict? A nurse is asked to provide birth control education even though she does not believe in using birth control. A father is expected to play the role of father, wage earner, and cook for the family and is unsure of how to fulfill all of them. A doctor is asked to decide whether an ex-alcoholic client is a liver transplant candidate. A husband decides he wants to quit his job in order to try something new and his wife values financial security.

How would you describe yourself to others?

Which question would provide the nurse with the information needed first when assessing self-concept? Do you like yourself? How would you describe yourself to others? What are some of your personal strengths? What do you see yourself doing 5 years from now?

What are your personal strengths?

Which question would the nurse ask to assess a client's self-identity during a focused self-concept assessment? Do you like being a teacher? What do you like most about your body? What are your personal strengths? Who would you like to be?

How do you feel about any physical changes you noticed recently?

Which question would the nurse include on a self-concept assessment related to body image? Who influenced you the most growing up? How do you feel about any physical changes you noticed recently? Do you like who you are? Who would you most like to be?