Chapter 41 Self-Concept Prep U

The nurse cares for a client who recently sustained a full-thickness (third-degree) burn. Which assessment question(s) will the nurse ask the client to determine the effect of the burn on the client's self-concept? Select all that apply. "Are you concerned you will not be able to care for your children?" "How would you describe yourself?" "Do you have interest in interacting with friends?" "What concerns you most about your burns?" "Are you able to look at your burns?"

"Are you concerned you will not be able to care for your children?" "How would you describe yourself?" "Do you have interest in interacting with friends?" "What concerns you most about your burns?" "Are you able to look at your burns?"

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?" "Do you feel threatened in any way at your job or in your life?" "Do you feel people appreciate your accomplishments in your career?" "Are you aware of any failings you have experienced in your life?"

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

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." "I'm such a horrible person." "I like myself and my life." "Who would want to marry me now the way I look?" "What good am I?"

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

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'm just glad that the paramedics came so quickly when I called 9-1-1." "It was by chance that my sister, who is a nurse, was visiting me at the time." "I've been eating healthy and taking my medication. Otherwise, it could have been a lot worse." "Boy, I was really lucky that this was only a mild heart attack."

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

A pediatric nurse is caring for Shawna, a 9-year-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 Shawna have at her age?" The nurse's best answer is which of the following? "The differences between self and others are strong at this age." "She has a beginning differentiation of self and non-self." "Her sense of self is very consolidated at this age." "She has developed no self-concept at this age."

"The differences between self and other are strong at this age."

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

"What are your personal strengths?"

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 are not helpless. When the doctor comes in you need to talk for yourself. I will stay with you while you talk." "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 can speak with the doctor about all treatment options. I will stay with you while you talk to the doctor, if you like."

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

The school nurse is teaching parents how to build self-esteem in children. Which strategies would the nurse include? Select all that apply. -Address your child's negative qualities, including those that are a matter of taste, preference, or personal style. -Listen to what your child says about his or her behavior and try to provide a possible "fix" for the problem. -Ask yourself what need is being expressed by your child's negative behavior and address that behavior. -Find occasions to frequently and honestly praise your child. -Notice examples of your child's ability in many different circumstances and point this out to the child. -Let your child know what to expect; let your child practice the necessary skills; be patient; and make it safe to fail.

-Ask yourself what need is being expressed by your child's negative behavior and address that behavior. -Find occasions to frequently and honestly praise your child. -Notice examples of your child's ability in many different circumstances and point this out to the child. -Let your child know what to expect; let your child practice the necessary skills; be patient; and make it safe to fail.

A nurse assessing children in a pediatrician's office would expect a child to achieve self-recognition at what age? At birth By 3 years By 18 months By 6 years

18 months

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 body image related to the different appearance of those in the new culture Altered role performance related to the separation of a father from his family Altered personal identity related to the new environment and separation from family Altered self-esteem related to the separation from family and social isolation

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

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? Communicates his feelings in a way that is comfortable. Communicates a sense of helplessness to his spouse. Integrates positive self-knowledge into self-concept. Reports feeling better about himself.

Communicates a sense of helplessness to his spouse.

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? Communicates his feelings in a way that is comfortable. Integrates positive self-knowledge into self-concept. Reports feeling better about himself. Communicates a sense of helplessness to his spouse.

Communication as a sense of helplessness to his spouse.

A single mother age 51 years has been recently diagnosed with multiple sclerosis. As a component of assessment, the nurse has asked the client, "How important is it for you to keep up the day-to-day maintenance of your household?" This question addresses the client's perception of which of the following? Virtue Significance Power Competence

Competence

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

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

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? Discipline the children to establish boundaries. Encourage participation in family health behaviors. Demonstrate bad behavior to educate about good behavior. Make decisions for the children to model right from wrong.

Encourage participation in family health behaviors.

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

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

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? Internal locus of control External locus of control Control reasoning Expectancy

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-esteem deficit self-concept deficit internal locus of control. external locus of control.

External locus of control.

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: -educate the parents about the fact that the infant is less emotionally vulnerable than an infant with no cognitive deficits. -give the parents details about their infant's daily routines. -facilitate as many opportunities as possible for infant-parent attachment. -remind the parents that their infant's circumstances are just as nurturing as a home environment.

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: -educate the parents about the fact that the infant is less emotionally vulnerable than an infant with no cognitive deficits. -remind the parents that their infant's circumstances are just as nurturing as a home environment. -facilitate as many opportunities as possible for infant-parent attachment. -give the parents details about their infant's daily routines.

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

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

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

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

How would you describe yourself to others?

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? Low self-esteem Lack of confidence Inadequate coping Stress tolerance

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? Sexuality and style Intactness and mutilation Rapid changes Fitness and energy

Intactness and mutlilation

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? Allow for privacy. Teach parents about need for socialization. Provide age-appropriate activities. Limit visitation of friends.

Limit visitation of friends.

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

Offering a simple explanation before initiating any procedure.

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? Self-esteem Role performance Personal identity Body image

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? Self-esteem Body image Personal identity Role performance

Personal identity.

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 conflict Role strain Role agreement

Role strain

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

Self Concept

A nurse encourages a young female whose leg was amputated to continue to pursue her dream to become a dancer. How does the nurse identify this need to reach one's potential through full development of one's unique capability? Ideal self Self-concept Self-actualization Self-esteem

Self-actualization

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

Self-esteem

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? Meeting friends Allowing life to unfold Setting goals Taking a self-improvement class

Setting goals

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 Culture Inadequate coping Values

Stress tolerance.

Which nursing intervention is inappropriate when developing a plan of care to modify a negative self-concept? Teaching the client how to "red flag" negative self-talk Teaching the client how to repeat "I can do this" when she has negative feelings Teaching the client that everything will work out better than she expects Asking the client to describe what makes her feel successful

Teaching the client that everything will work out better than she expects.

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 focus on another activity. The client will refrain from participating in trying to quit. The client will voice reasons for not being able to quit. The client will be able to stop smoking.

The client will be able to stop smoking.

A client with a diagnosis of colon cancer has required the creation of an ostomy following bowel surgery. Which factor is most likely to influence the client's adjustment to this change? the client's knowledge of a peer who also has an ostomy the prognosis of the client's cancer after the surgery the specific location of the ostomy the coping mechanisms that the client possesses

The coping mechanisms that the client possesses.

Which of the following is objective data related to self-concept? The person's mom tells a nurse that her child is never happy. The person admits that she always wears baggy clothes in order to hide her body. The person states, "I am worthless." The person refuses to make eye contact.

The person refuses to make eye contact.

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

What are you 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. intensive eye contact difficulty making decisions inability to discuss a change in body function taking on of additional responsibility social withdrawal

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