Fund. Chapter 41: self-concept

A nursing 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

During a health history, a client states, "Whatever happens, happens because of luck." The nurse interprets this statement as indicating

external locus of control.

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?"

The nurse takes the health history of a client who lost the right leg in a roadside bomb. Which question will the nurse ask the client while assessing self-concept

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

The nurse is assessing a client's self-concept as part of a comprehensive assessment. What assessment question should the nurse initially ask?

"How would you describe yourself?"

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."

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."

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?"

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 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?"

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

*Body image *Self-esteem *Personal identity *Role performance

The nurse is caring for a client who states, "I do not think I deserve to be happy. That is why my life is such a mess." Which nursing intervention(s) would address the client's poor self-concept? Select all that apply

*Offer genuine praise when appropriate. *Role model self-confidence. *Emphasize the client's positive attributes.

A nurse is providing care to a newborn. When implementing care to foster the infant's self-concept, which information would the nurse need to keep in mind? Select all that apply

*The nurse can transmit self-concept to the newborn. *The parents can convey their sense of competence to the newborn *Anxiety felt by those caring for the newborn can be sensed by the newborn.

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

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

*uses available resources *makes decisions related to his care

A nurse is educating the parents of an infant about the development of self-concept. Applying Freud's psychodynamic theory, the nurse would explain that the infant begins to be able to distinguish his body from objects in the environment at approximately what age

3 months

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

A nurse is providing care to a client who has undergone skin grafting to her face due to a burn injury. The client states, "I know it could have been worse, but my face will never be the same as it was. I haven't been able to look at myself in the mirror because of what I might see." The nurse interprets this statement as most likely reflecting which pattern?

Body image

A nurse assessing children in a pediatrician's office would expect a child to achieve self-recognition at what age

By 18 months

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 a sense of helplessness to his spouse.

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

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-concep

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.

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

A client with cancer has a family who is emotionally supportive of the client. Having a supportive family is which type of resource

External resource

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?

Which question would provide the nurse with the information needed first when assessing self-concept

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?

Inadequate coping

How can nurses who provide care in long-term care settings best enhance the self-esteem of older adults who reside in these facilities

Maximize the autonomy of residents in organizing their routines

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

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

Personal identity

The nurse cares for a hospitalized school-age client. The nurse is planning care focusing on ways to promote self-concept. Which intervention should the nurse include?

Provide age-appropriate activities to promote engagement

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 strain

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?

Self-evaluation

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

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

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

Which nursing intervention is inappropriate when developing a plan of care to modify a negative self-concept

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 be able to stop smoking

Which of the following is objective data related to self-concept?

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 are your personal strengths?

A client has had abdominal surgery and the creation of a colostomy. The client avoids looking at the colostomy and refuses visitors. Which nursing concern is appropriate for this client

altered body image related to colostomy as evidenced by avoidance of colostomy

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

address the client's negative self-concept

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 were not so fat." What is the priority nursing concern?

altered body image

Which client will the nurse monitor closely for signs of role strain

client who is a new parent and who feels inadequate in this new identity

The nurse caring for a preschool-age child has noted that the child exhibits sexual curiosity. The nurse will identify this as helping the child in what way

developing self-concept

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

exhibits signs of grief

A nurse is providing education to a client newly diagnosed with metastatic cancer. The client states, "It does not matter what treatment I receive; my future health is up to God." The nurse understands that this client has which

external locus of control

Which problem-based nursing concern lacks a self-concept disturbance etiology

self-care deficiency due to dysfunctional grieving

The nurse is assessing a client's sense of adequacy and worth. What domain is the nurse assessing?

self-esteem

An adolescent states to the nurse, "I want to go to college and learn to be a chef." This is an example of what concept?

self-expectation

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 coping mechanisms that the client possesses