NUR 1020 Chapter 41: Self-Concept

The nurse is assessing a young adult for information about personal identity. Which questions asked by the nurse would help elicit the needed information? Select all that apply.

"How would you describe yourself to others?" "What words would your best friend use to describe you?" "Tell me a little bit about yourself." "Make a list of five labels that you believe identify yourself."

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.

"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?"

The nurse is providing care to a client who is recovering from mild myocardial infarction. The nurse determines that the client has an internal locus of control based on which client statement?

"I've been eating healthy and taking my medication. Otherwise, it could have been a lot worse."

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."

A client has recently immigrated without his family. The client reports that he cannot find a job and has no friends here. The client reports that without his family he doesn't know who he really is and everything around him is different. Which nursing diagnosis is most appropriate?

Altered personal identity related to the new environment and separation from family

The nurse is assessing a client who is a single parent living away from family, attending college, and working full time. How can the nurse assist the client in sustaining a positive self-concept during times of intense stress?

Assess the client's history of coping mechanisms.

A client had a traumatic amputation of the arm in a motor vehicle accident. Which intervention will the nurse use to assist a client in managing body image disturbance?

Assist the client in exploring thoughts and feelings related to body image changes.

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.

Communicates needs Accepts help Acts as a support for others

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?

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

The nurse performs an assessment observing for clues about the client's self-concept and coping ability. The client is scheduled for surgery today and while twisting and shredding a tissue states, "I have no concerns about this procedure...a piece of cake!" Which is the best nursing action?

Discuss the noted discrepancy between action and words with the client.

A client who is 5 ft 2 in (1.57 m) tall and weighs 120 lb (54.4 kg) states, "I wish for once I had a normal weight and I weren't so fat." What is the priority nursing diagnosis?

Disturbed body image

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?

Encourage participation in family health behaviors.

A nurse is nervous about interacting with a new client due to the memories of a similar past situation the nurse has experienced. Which action should this nurse prioritize when caring for this client?

Evaluate his or her own self-concept

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

A client has suffered an amputation of the right leg due to a motor vehicle accident. What would be an example of a maladaptive response?

Expressing they will never be a whole person again

A client is asked to graph his perception of his "real self" and his "ideal self" on a line. The real self is graphed very close to the ideal self. How would the nurse assess this client's self-esteem?

High self-esteem

Which question would the nurse include on a self-concept assessment related to body image?

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

What self-concept is demonstrated when a child says that he wants to be "just like my dad"?

Ideal self

The emergency department nurse is triaging a 15-year-old adolescent who is brought in by a family member after finding the client with a bottle filled with a variety of pills. The family member shares that the client's parents recently divorced and the client's mother moved out-of-state, leaving the client and two younger siblings with the father. The father travels frequently for work, leaving the client alone to take care of the younger siblings. Which factor should the nurse prioritize?

Inadequate coping

The pediatric nurse is caring for a boy 5 years of age, who is being seen in the clinic today. He is very worried that the doctor may harm his body. His mother asks the nurse if this is normal for this age. The nurse shares with the mother that the very young child worries about which of the following related to his body?

Intactness and mutilation

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.

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:

external locus of control.

Which nursing action helps to maintain a sense of self for clients?

Offering a simple explanation before initiating any procedure

The nurse is assessing for information about a client's self-concept. The information needed first is about which of the following?

Personal identity

When a nurse asks a client to describe her personal characteristics and traits, the nurse is most likely assessing the client for what self-concept factors?

Personal identity

A client who works from home with three children comes to clinic and is diagnosed with the flu. The client states, "I just don't know how I can keep up with everything." What component of the identity is compromised?

Role performance

Which term refers to our ability to execute societal expectations regarding role-specific behaviors?

Role performance

A nurse is working with adolescents in a mental health facility. What aspect of self-esteem does the nurse identify is developed in this age group? Select all that apply.

Sense of self is consolidated. Emphasis is on sexual identity. Parental influences on self-concept are often rejected.

A child age 5 years wakes up at night and finds he has wet the bed. He feels embarrassed that he had this accident and sleeps in the wet bed all night, afraid to tell his parents. In the morning, he wakes up early, gets dressed, and hides his pajamas because he still feels shame for this accident. This child is experiencing which feeling of self-evaluation?

Shame

A nurse student states, "I feel good that I put an indwelling catheter in my client without any problem even though it was an emergency." This demonstrates which factor affecting self-concept?

Stress tolerance

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.

Which question would the nurse ask to assess a client's self-identity during a focused self-concept assessment?

What are your personal strengths?

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.

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

Asking a client to describe himself is one way to assess his:

self-concept.

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