Test Generator Questions, Chapter 37, Self-Concept

Format: Multiple Choice

Chapter: 37

Client Needs: Psychosocial Integrity

Cognitive Level: Remember

Integrated Process: Nursing Process

Learning Objective: 2

Page and Header: Self-Esteem, p. 1235.

1. What term best describes a person’s sense of his or her own adequacy and worth?

A) Esteem

B) Self-esteem

C) Love

D) Self-actualization

2. The function of self-concept in human beings is to serve as a frame of reference that:

A) sets limits for cognitive ability.

B) processes external stimuli from the environment.

C) evaluates events as they are occurring in life.

D) influences how one handles life situations.

3. A nurse wants to know about the client’s self-perception. Which question will assess for the client’s self-perception?

A) How do you view yourself in regard to your importance both in your job and in your life?

B) Do you feel people appreciate your accomplishments in your career? Do you like your life?

C) Can I ask you a question about your life? Are you aware of any failings you have experienced?

D) People with disabilities often feel threatened in their self-concept. Do you feel threatened?

4. A client states, “I’m concerned about my ability to take care of my mother because I’ve got a tendency to become impatient when I don’t see quick results.” This statement addresses which characteristic of the client?

A) Self-evaluation

B) Self-knowledge

C) Self-expectation

D) Social self

5. An adolescent states, “I want to go to college and learn to be a chef.” This is an example of:

A) self-perception.

B) self-knowledge.

C) self-expectation.

D) social self.

6. A soldier has lost his right leg in a roadside bomb. This accident will affect his:

A) body image

B) self-evaluation

C) self-perception

D) ideal self

7. When the client with paraplegia demonstrates the ability to cope with personal deficiencies and to maximize strengths, the nurse determines that the client has developed:

A) self-determination

B) self-evaluation

C) self-esteem

D) self-image

8. A male client brings his adult parents to the clinic. How would the nurse describe his role as a son?

A) Hereditary

B) Ascribed

C) Designated

D) Assumed

9. In regard to development of self-concept, an infant:

A) plays independently with toys.

B) has no separate existence.

C) is not affected by self-concept.

D) develops new roles daily.

10. Preschoolers exhibit sexual curiosity. This builds the preschooler’s:

A) self-concept.

B) ideal self.

C) self-efficacy.

D) cognition.

11. A nurse visits a 60-year-old client with diabetes in the home after the client’s left above-the-knee amputation. The client appears disheveled and with poor hygiene. The client also avoids making eye contact with the nurse. What is likely to occur as a result of the client’s reduced self-esteem?

A) Lethargy

B) Withdrawal

C) Self-care deficit

D) Lack of interest

12. 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?

A) Culture

B) Inadequate coping

C) Stress tolerance

D) Values

13. A newlywed couple has moved to another city due to a job opportunity. The couple would be at risk for alteration in self-concept related to:

A) inadequate coping

B) role strain

C) anxiety

D) stress

14. The nurse promotes the self-concept of the parents of an infant age 6 months admitted to the hospital with a fever and dehydration by:

A) telling the parents that the infant's condition was not their fault.

B) allowing the parents to participate in the infant’s care.

C) encouraging the parents to visit the infant every other day.

D) educating the parents on health-maintenance behaviors.

15. To obtain subjective data about a burn client’s self-concept, the nurse should do what?

A) Ask the client how the client would describe themselves.

B) Observe the client's interactions with others.

C) Document the client’s lack of eye contact.

D) Note how the client conceals the wound.

16. 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.

A) Altered self-esteem related to colostomy and poor self-image

B) Disturbed body image related to colostomy as evidenced by avoidance of colostomy

C) Fear of rejection by others related to colostomy and altered self-image

D) Altered role performance related to inability to cope with visitors

17. Asking a client to describe himself or herself is one way to assess his or her:

A) self-concept.

B) self-knowledge.

C) self-expectation.

D) social self.

18. A client is describing how the client thinks others see the client. This is a description of the client’s:

A) self-awareness.

B) social self.

C) self-concept.

D) self-perception.

19. A group of nurses are attending a seminar on self-concept. Which statement by a nurse concerning self-esteem indicates a need for further education?

A) "Children whose parents set limitations on their behavior have higher self-esteem."

B) "Parental acceptance helps to increase a child’s self-esteem."

C) "Clear expectations set by parents help to increase a child’s self-esteem."

D) "Children who agree with their parents’ opinions have higher self-esteem."

20. Which client is at greatest risk of developing a damaged self-concept during a period of increased stress?

A) A single mother with a supportive family

B) A married female with a large network of friends

C) An older adult female who is newly widowed

D) A teenager who is active in his church

21. A newly married client is attempting to fulfill the role of wife, professional, and lover. She tells the nurse that she does not feel that she is fulfilling any of the roles well. The nurse will document this as:

A) role strain.

B) role ambiguity.

C) role conflict.

D) role transition.

22. A student nurse has recently started a new job in a long-term care facility. In the interview, the student was told that she would receive 2 weeks of orientation prior to working on her own. After the first night of work, the student was told she was now allowed to work on her own. This situation may lead to:

A) role conflict

B) role ambiguity

C) role strain

D) role transition

23. A nurse has just finished discussing therapeutic communication with a group of students on the unit. Which statement by a student indicates a need for further education? Select all that apply.

A) "A nurse must possesses self-awareness to develop therapeutic relationships with her clients."

B) "Developing trust is essential in therapeutic relationships."

C) "Showing sympathy to your clients helps in developing therapeutic relationships."

D) "Effective communication is the key to therapeutic communication."

E) "Establishing rapport is not needed in a therapeutic relationship."

24. Which nursing interventions would address poor self-concept? Select all that apply.

A) Offer praise honestly.

B) Role model self-confidence.

C) Emphasize positive attributes in clients.

D) Assist clients in setting goals that may be tough to reach.

E) Teach clients to accept responsibility for themselves.

25. A school-age child is attending an afterschool function without his or her parents. Which stage, according to Erickson, is the child in?

A) Industry vs. inferiority

B) Initiative vs. guilt

C) Identity vs. role confusion

D) Autonomy vs. shame

26. A 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?

A) Allow for privacy.

B) Limit visitation of friends.

C) Provide age-appropriate activities.

D) Teach parents about need for socialization.

27. The nurse is preparing a care plan for client with the nursing diagnosis of ineffective coping. The client has had a mastectomy and refuses to participate in the care of the surgical site. What would be an appropriate initial goal for the client?

A) The client will look at the surgical site in a mirror within 2 days.

B) The client will assist with the dressing change.

C) The nurse will change the dressing while the client is hospitalized.

D) The nurse will take a picture of the site to allow the client to view it when she wishes.

28. A nurse is attempting to provide education to a newly diagnosed client with diabetes. The client states, "It doesn’t matter what I eat, my future health is up to God." The nurse understands that this client has:

A) internal locus of control.

B) external locus of control.

C) self-esteem deficit

D) self-concept deficit

29. Which objective data may suggest that a client has altered self-concept? Select all that apply.

A) Lack of eye contact

B) Client states, "I’m worthless"

C) Hand-wringing

D) Client states, "I don't want anyone to see me like this."

E) Below-the-knee amputation of the right lower extremity

30. Which assessment findings indicate a potential self-concept dysfunction? Select all that apply.

A) Depersonalization

B) Feelings of inadequacy

C) Preoccupation with affected body part

D) Inability to make decisions

E) Refusal to make eye contact