PrepU - Ch.42: Self-Concept

A child lists his favorite sports figures and tells the nurse he is going to be just like them. How does the nurse identify this human need? A) Self-expectations B) Self-knowledge C) Self-actualization D) Self-evaluation

A) Self-expectations

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?" - "Make a list of five labels that you believe identify yourself." - "Tell me a little bit about yourself." - "What words would your best friend use to describe you?" - "What are your favorite things to when you have free time?"

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

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

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

A nurse is providing anticipatory guidance to the parents of a toddler regarding ways to promote self-concept and personal identity. Which actions would the nurse recommend? Select all that apply. - Emphasizing the need for privacy - Encouraging the need for socialization - Allowing exploration of the surroundings - Educating about the need for stimulation - Assisting in maintaining self-control

- Allowing exploration of the surroundings - Assisting in maintaining self-control

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

A) Encourage participation in family health behaviors.

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? A) High self-esteem B) High risk for narcissism C) Very low self-esteem D) High risk for altered self-esteem

A) High self-esteem

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? A) Provide age-appropriate activities to promote engagement. B) Limit visitation of friends so family can visit more often. C) Limit privacy in order to promote interaction. D) Teach the client's parents about the child's need for socialization.

A) Provide age-appropriate activities to promote engagement.

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? A) Self-evaluation B) Self-knowledge C) Social self D) Self-expectation

A) Self-evaluation

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? A) Self-expectation B) Self-perception C) Vocational self D) Self-knowledge

A) Self-expectation

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? A) Share personal situation with client B) Discuss the situation with a colleague C) Evaluate his or her own self-concept D) Ask another nurse to take over

C) 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? A) Encourage the client to do activities that younger people do. B) Explain that his life experience will help to develop a plan of care. C) Explain that getting older is part of life and the client needs to start thinking about what will happen when he dies. D) Explain that the younger generation is fast-moving and it's best to be around just those of the same generational age.

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

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? A) Self-esteem B) Personal identity C) Body image D) Role performance

B) Personal identity

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

B) The client will be able to stop smoking.

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? A) "I wonder if your spouse would be willing to talk with the doctor for you? I will ask your spouse for you." B) "You are not helpless. When the doctor comes in you need to talk for yourself. I will stay with you while you talk." C) "You can speak with the doctor about all treatment options. I will stay with you while you talk to the doctor, if you like." D) "I will discuss treatment options with your doctor and let you know what is decided."

C) "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 nurse has identified the nursing concern of altered body image after the client underwent bilateral mastectomy. Based on this concern, which goal is appropriate to include in the nursing plan of care? A) The client will resume regular bowel movements within 3 days of surgery. B) The client will eat a regular diet within 3 days of surgery. C) The client will participate as able in the daily care of the incisions. D) The client will progress to oral pain medication within 3 days of surgery.

C) The client will participate as able in the daily care of the incisions.

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? A) The client's knowledge of a peer who also has an ostomy B) The specific location of the ostomy C) The coping mechanisms that the client possesses D) The prognosis of the client's cancer after the surgery

C) The coping mechanisms that the client possesses

The emergency department nurse is triaging a 15-year-old adolescent who is brought in by a family member after finding the adolescent with a bottle filled with a variety of pills. The family member shares that the adolescent's parents recently divorced and one parent moved out-of-state, leaving the adolescent and two younger siblings with the other parent who travels frequently for work. During these trips, the adolescent is alone to take care of the younger siblings. Which nursing concern should the nurse prioritize for care planning? A) Lack of confidence B) Stress tolerance C) Low self-esteem D) Inadequate coping

D) Inadequate coping

The nurse is assessing a client's sense of adequacy and worth. What domain is the nurse assessing? A) Self-actualization B) Identity C) Esteem D) Self-esteem

D) 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? A) Taking a self-improvement class B) Meeting friends C) Allowing life to unfold D) Setting goals

D) Setting goals

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

D) What are your personal strengths?