Exam 3 Topic 10

Question 1

When the nurse uses a matter-of-fact approach and acknowledges a change in the patient’s behavior or appearance, it allows the patient to?

Answer 1

establish its meaning.

Question 2

Patients with deficits in self-concept often have difficulty?

Answer 2

making decisions. It is essential for the nurse to remain accepting of the patient and to support him or her in decision making.

Question 3

Demonstrating acceptance of the patient by supportively sitting with him or her builds a therapeutic nurse-patient relationship. The nurse’s presence signals?

Answer 3

value and allows the patient to explore issues of self-concept and self-esteem.

Question 4

Self-esteem is?

Answer 4

how a person feels about himself or herself. Asking open-ended questions about self-esteem is important during the nursing assessment.

Question 5

Understanding developmental tasks across the life span is essential in designing nursing care. Adolescents are focused on?

Answer 5

establishing their identity outside the family and should be supported in meeting this developmental task.

Question 6

Body image involves?

Answer 6

attitudes related to the body, including physical appearance, structure, or function. Disturbed Body Image would be an appropriate nursing diagnosis.

Question 7

In planning nursing care for an 85-year-old male, what is the most important basic need that must be met?
  Assurance of sexual intimacy
  Preservation of self-esteem
  Expanded socialization
  Increase in monthly income

Answer 7

Preservation of self-esteem

Self-esteem is essential for physical and psychological health across the life span.

Question 8

The home health nurse is visiting a 90-year-old man who lives with his 89-year-old wife. He is legally blind and is 3 weeks’ post right hip replacement. He ambulates with difficulty with a walker. He comments that he is saddened now that his wife has to do more for him and he is doing less for her. Which of the following is the priority nursing diagnosis?
Self-Care Deficit, Toileting Incorrect
Deficient Knowledge Regarding Resources for the Visually Impaired
Disturbed Body Image
Risk for Situational Low Self-Esteem

Answer 8

Risk for Situational Low Self-Esteem

Blindness coupled with difficulty ambulating places him at risk for situational low self-esteem. He and his wife most likely have adapted to the blindness, but his difficulty with ambulation affects many aspects of his life, including self-esteem. However, this low self-esteem is situational; as his mobility improves, his low self-esteem will also resolve. Nothing in the question suggests that the other answers are true.

Question 9

The developmental stage of Industry Versus Inferiority (ages 8 to 12) is focused on?

Answer 9

incorporating feedback from peers and teachers, increasing self-esteem with new skill mastery, and promoting awareness of strengths and limitations.

Question 10

A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of Situational Low Self-Esteem. Which of the following nursing interventions would be appropriate to address self-esteem? (Select all that apply.)
Offer independent decision-making opportunities.
Review previously successful coping strategies.
Provide a quiet environment with minimal stimuli.
Support a dependent role throughout treatment.
Increase calorie intake to promote weight stabilization.

Answer 10

Offer independent decision-making opportunities.
Review previously successful coping strategies.

Offering opportunities for decision making promotes a sense of control, which is essential for promoting independence and enhancing self-esteem. Reviewing successful coping strategies is also a priority intervention to signal previous mastery and promote effective coping in an individual with self-esteem issues. Promoting independence is an important part of treatment. Although weight stabilization may be needed, it will likely have a negative effect on self-esteem early in treatment.

Question 11

Helping a patient define problems clearly, allowing him or her to openly explore thoughts and feelings, and reframing his or her thoughts and feelings in a more positive way are designed to promote?

Answer 11

self-awareness and a positive self-concept.

Question 12

When the expectations and responsibilities of a role are unmanageable, it is referred to as role overload. A person may experience role overload when?

Answer 12

trying to meet employment demands and caring for a family.

Question 13

Role conflict happens when?

Answer 13

a person has to assume two or more inconsistent and mutually exclusive roles.

Question 14

Role ambiguity occurs when?

Answer 14

a person is confused and not sure of his or her role.

Question 15

Role strain results from?

Answer 15

Role conflict and role ambiguity combined.

Question 16

self-concept stressor

Answer 16

Any real or perceived change in a person’s life that would threaten or alter the person’s identity, body image, or role performance

Question 17

The nurse is teaching a group of young adults about the normal changes in role performance associated with maturation. What are the common stressors related to role performance in this stage of life? Select all that apply.
Societal attitudes
Dependency on others
Transition from school to work setting
Physical, emotional, or cognitive deficits preventing role assumption
Death of a loved one

Answer 17

Transition from school to work setting
Physical, emotional, or cognitive deficits preventing role assumption
Death of a loved one

Role performance is the way in which individuals perceive their abilities to carry out significant roles (e.g., parent, supervisor, or close friend). Normal changes associated with maturation result in changes in role performance. The common stressors include transition from school to work setting, and the physical, emotional, or cognitive deficits preventing role assumption. The death of a loved one creates an emotional deficit that may prevent a person from assuming his or her roles. Societal attitudes and dependency on others are related to identity.

Question 18

When assessing a patient’s self-esteem, the nurse should focus on assessing individual components such as?

Answer 18

identity, body image, and role performance. This helps the nurse determine which factor is affecting the self-concept. The physical and medical conditions are not components of self-concept.

Question 19

Identity is defined as an?

Answer 19

Internal sense of individuality, wholeness, and consistency of a person in different situations. The experiences of repeated failures, conflicts with others, and dependency on parents disturb the internal sense of individuality and consistency of an individual. Therefore, identity is affected in the patient.

Question 20

Self-esteem is an individual’s overall feeling of?

Answer 20

Self-worth or the emotional appraisal of self.

Question 21

Body image is the?

Answer 21

physical appearance, structure, and function of the person.

Question 22

The individual has significant roles throughout life. Failure in meeting role expectations results in?

Answer 22

deficits