M29 The Concept of Self
"By trying new things, your daughter is attempting to form her personal identity."
The mother of an adolescent girl tells the nurse that she is concerned because her daughter "keeps trying new things." How should the nurse respond? "By trying new things, your daughter is attempting to win your approval." "By trying new things, your daughter is attempting to stress you out." "By trying new things, your daughter is exhibiting signs of stress herself." "By trying new things, your daughter is attempting to form her personal identity."
Cognitive-behavioral therapy
The nurse admits a patient diagnosed with a feeding and eating disorder. Which clinical therapy should the nurse expect to be ordered for this patient? Cognitive-behavioral therapy Pharmacologic therapy Schema-focused therapy Dialectic behavioral therapy
Personality disorder
The nurse admits a patient to the mental health unit, who has been admitted numerous times over the past 2 years. The nurse notes that the patient has difficulty relating to others, poor impulse control, and thinks differently from others in the cultural group. Which disorder should the nurse expect to be listed as a diagnosis in the patient's medical record? Personality disorder Binge-eating disorder Avoidant/restrictive food intake disorder Purging disorder
Personality disorder
The nurse admits a patient to the mental health unit. The patient states, "I don't know why they made me come here. I didn't do anything wrong. It is not my fault." Which disorder should the nurse suspect? Schizophrenia Personality disorder Rumination disorder Eating disorder
Eating disorder with purging
The nurse conducts an admission assessment for a female patient admitted to the mental health unit. When asked about medications, the patient informs the nurse about routinely taking diuretics and laxatives. Which disorder should the nurse associate with the patient's condition? Eating disorder with purging Avoidant/restrictive food intake disorder Personality disorder Binge-eating disorder
Nocturnal sleep-related eating disorder
The nurse is assessing a patient who complains of insomnia, sleepwalking, and consumption of unusual foods or nonfood items during sleepwalking. Which eating disorder should the nurse suspect in the patient? Rumination disorder Pica Nocturnal sleep-related eating disorder Prader-Willi syndrome
Prader-Willi syndrome
The nurse is caring for a 3-year-old child who has characteristic features of mental retardation, obesity, and poor muscle tone. The patient's mother tells the nurse that the child has an incessant desire to eat. Which disorder does the nurse suspect in the patient? Pica Rumination disorder Nocturnal sleep-related eating disorder Prader-Willi syndrome
Monitor vital signs and laboratory studies.
The nurse is caring for a patient diagnosed with an eating disorder. Which nursing intervention is most important regarding this patient's physiological assessment? Ask the patient about the presence of hallucinations. Monitor for lack of exercise. Monitor vital signs and laboratory studies. Only a psychologic assessment is necessary.
Specific self-esteem
The nurse is caring for a patient who is attractive and athletic. The patient reveals disappointment in their academic abilities and feels embarrassed around well-educated friends. The nurse should recognize that which specific element of self-concept is affecting the patient? Self-awareness Global self-esteem Specific self-esteem Public self
Role conflict
The nurse is caring for a young mother going through college as a full-time student. The patient seems anxious and fatigued, and the nurse suspects the patient is experiencing an alteration of self. Which specific element of self-concept should the nurse consider? Introspection conflict Role conflict Self-awareness conflict Personal identity conflict
Body image
The nurse is discussing self-concept with colleagues. Which item should the nurse include as a component of self-concept? Physical performance Personality traits Body image Cognitive development
Providing nutrition counseling may be perceived as an attempt at control.
The nurse is having difficulty establishing a therapeutic relationship with a patient who has an eating disorder. Which specific factor can make it difficult for the nurse to establish this relationship? Creating a safe environment for the patient is exceptionally difficult. The patient may not be capable of self-awareness. Providing nutrition counseling may be perceived as an attempt at control. Recovery rates are poor for patients with eating disorders.
Provide positive reinforcement when the patient adheres to the treatment plan.
The nurse is planning care for a patient diagnosed with an eating disorder. Which intervention should the nurse include in the plan of care to promote positive self-esteem? Help the patient set long-term goals for weight gain. Provide positive reinforcement when the patient adheres to the treatment plan. Help the patient to manage disruptive behaviors. Assess the patient for suicidal ideations.
"Erikson's theory focuses on society and conflicts that influence personality."
The nurse is reviewing Erikson's theory on psychosocial development in humans with colleagues. Which statement should the nurse include? "Erikson's theory focuses on society and conflicts that influence personality." "Erikson's theory focuses mostly on internal conflicts that influence personality." "Erikson's theory is the earliest framework for personality development." "Erikson's theory is grounded in the human response to impulses."
Lanugo
The nurse is reviewing a patient's medical record prior to her physical examination and notes that the patient has lost 50 pounds since her last visit. Which additional assessment finding would support the nurse's suspicion of anorexia nervosa? Normal weight Lanugo Scars on fingers Stained teeth
Antipsychotic
The nurse is working with a team of healthcare professionals to care for a patient diagnosed with a personality disorder who also has a co-occurring mental health disorder accompanied by hallucinations. Which type of medication should the nurse anticipate the healthcare provider to prescribe? Anxiolytic Antispasmodic Antipsychotic Antidepressant
Skin covered with a fine layer of hair
The nurse suspects a patient with a weight change from 145 lb to 95 lb in the last 6 months of having anorexia nervosa. Which additional assessment finding supports the suspected diagnosis? Potassium of 4.0 mEq/L Blood pressure of 210/124 mmHg Scars on fingers Skin covered with a fine layer of hair
"How do you describe yourself?"
The nurse suspects that a patient may be in the beginning stages of developing an eating disorder. Which question should the nurse ask during the personal identity portion of the psychosocial assessment? "In one or two words, how do you feel about your body?" "What do you think when you look at your body in a mirror?" "How important is physical appearance to you?" "How do you describe yourself?"
Adolescents
The nurse working in a pediatric surgical unit cares for patients who are undergoing surgical amputations of limbs. Which age group should the nurse expect to have the most problems following recovery from these procedures? Adolescents School-age children Toddlers Preschoolers
Establishing a therapeutic environment
Which action by the nurse would help ensure an effective nursing assessment on a patient diagnosed with personality disorder? Establishing an authoritative environment Asking questions related to family members' mental health Establishing a therapeutic environment Asking detailed, personal questions
Low body weight, fear of gaining weight, purging behaviors
Which manifestations should the nurse expect in a patient diagnosed with anorexia nervosa? Frequent and recurrent episodes of eating large amounts of food and then purging by self-induced vomiting or laxative use Mental retardation, poor muscle tone, and an incessant desire to eat Low body weight, fear of gaining weight, purging behaviors Repeated regurgitation of food outside the presence of a medical condition
Genetics
Which risk factor has the strongest influence on development of a personality disorder (PD)? Experience of a childhood trauma Poverty Genetics Personality characteristics of anxiety, fear, and aggression
"Body image is one component of self-concept."
Which statement by the nurse explains the influence of body image on self-concept? "Body image is composed of age, gender, marital status, and occupation." "Body image is one component of self-concept." "Body image can only positively affect self-concept." "Body image and self-concept are two areas that are often in competition with each other."
"Ensure that your son is safe here."
An adolescent patient who has been diagnosed with a personality disorder has been admitted to the hospital after a suicide attempt. The patient's mother asks, "What will you do for my son first?" How should the nurse respond? "Establish a therapeutic relationship with your son." "Teach your son coping behaviors." "Eliminate all stressors on your son." "Ensure that your son is safe here."
"We will have you evaluated by a team; the nutritionist will recommend a diet for you."
A patient asks the nurse what can be done to treat anorexia nervosa. How should the nurse respond? "We will set a goal for you that you gain 2 pounds each week." "We will give you three balanced meals each day." "You will need to go to the bathroom before meals, not after." "We will have you evaluated by a team; the nutritionist will recommend a diet for you."
Begin an individualized diet as prescribed by a nutritionist.
A patient is admitted to an inpatient care facility for the treatment of anorexia nervosa with purging behaviors. Which intervention is most appropriate for the nurse to implement? Begin an individualized diet as prescribed by a nutritionist. Allow access to the bathroom after meals. Divide the daily calories over three meals a day. Set a goal of a weight gain of 2 pounds a week.
Pica
During an examination, a patient admits to not being able to control the urge to eat paper. The nurse should associate the patient's behavior with which specific eating disorder? Avoidant/restrictive food intake disorder Binge-eating disorder Pica Nocturnal sleep-related eating disorder
