C HAPTER 33: S ELF -C ONCEPT
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which individual is most likel y to need the nurse’s assistance in coping
with identit y confusion?
a. A 49-year-old male with stable employment
b. A 35-year-old recently divorced mother of twins
c. A 22-year-old in the third year of college
d. A 50-year-old self-employed woman
ANS: B
Identit y confusion results when people do not maintain a clear,
consistent, and continuous consciousness of personal identit y. A newl y
divorced woman would be trying to adapt to a new lifest yle of being
single while handling pa renting of twins as a single parent. This
situation could lead to identit y confusion. A college sophomore would
have had at least 2 years to adjust to the new life setting, and a self -
employed woman would likel y be content with creating her own
employment opportunit y. There is no indication that the middle -aged
man with stable employment should have identit y confusion.
DIF: Appl y (application) OBJ: Utilize sound clinical
judgment to design evidence -based care for patients with
disturbed body image, altere d self-concept, low self -esteem, and
, role conflict. TOP: Planning MSC: Psychosocial
Integrit y
2. A nurse is assessing a patient for possible altered self -concept. Which
assessment finding is consistent with altered self -concept?
a. Appropriatel y dressed in cl ean clothes
b. Hesitant to express opinions
c. Independent attitude
d. Holds eye contact
ANS: B
Hesitant to express views or opinions is a behavior suggestive of
altered self-concept. Holds eye contact, independent attitude, and
appropriate appearance are all sig ns of normal self-concept.
DIF: Appl y (application) OBJ: Discuss factors that
influence the components of self -concept and self-esteem.
TOP: Assessment MSC: Psychosocial Integrit y
3. A nurse is caring for a postoperative mastectom y patient. Which action i s
a priority for increasing self -awareness?
a. Solving problems for the patient before developing insight
b. Using communication skills to clarify famil y and patient
expectations
c. Telling the patient that it will be fine because many others have
survived
d. Rotating nursing personnel in the patient’s care, so the patient can
talk to many people
, ANS: B
Increase the patient’s self -awareness by allowing him or her to openl y
explore thoughts and feelings. A priorit y nursing intervention is the
expert use of therapeutic communication skills to clarify the
expectations of a patient and famil y. Interventions designed to help a
patient reach the goal of adapting to changes in self -concept or
attaining a positive self -concept are based on the premise that the
patient first d evelops insight and self -awareness concerning problems
and stressors and then acts to solve the problems and cope with the
stressors. Reassurance that a person will do fine dismisses any
potential concerns the patient may have. Rotating nursing personnel
does not allow time for the patient to build rapport with any one nurse.
DIF: Appl y (application) OBJ: Discuss factors that
influence the components of self -concept and self-esteem.
TOP: Implementation MSC: Psychosocial Integrity
4. The nurse in an addict ions clinic is working with a patient on priorit y
setting before the patient’s discharge from residential treatment. Which
goal is a priority at this time?
a. Identifying local self -help groups before being discharged from the
program
b. Stating a plan to never be tempted by illicit substances after
discharge
c. Staying away from all triggers that cause substance abuse
d. Recognizing personal areas of weakness to grow stronger
ANS: A
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. Which individual is most likel y to need the nurse’s assistance in coping
with identit y confusion?
a. A 49-year-old male with stable employment
b. A 35-year-old recently divorced mother of twins
c. A 22-year-old in the third year of college
d. A 50-year-old self-employed woman
ANS: B
Identit y confusion results when people do not maintain a clear,
consistent, and continuous consciousness of personal identit y. A newl y
divorced woman would be trying to adapt to a new lifest yle of being
single while handling pa renting of twins as a single parent. This
situation could lead to identit y confusion. A college sophomore would
have had at least 2 years to adjust to the new life setting, and a self -
employed woman would likel y be content with creating her own
employment opportunit y. There is no indication that the middle -aged
man with stable employment should have identit y confusion.
DIF: Appl y (application) OBJ: Utilize sound clinical
judgment to design evidence -based care for patients with
disturbed body image, altere d self-concept, low self -esteem, and
, role conflict. TOP: Planning MSC: Psychosocial
Integrit y
2. A nurse is assessing a patient for possible altered self -concept. Which
assessment finding is consistent with altered self -concept?
a. Appropriatel y dressed in cl ean clothes
b. Hesitant to express opinions
c. Independent attitude
d. Holds eye contact
ANS: B
Hesitant to express views or opinions is a behavior suggestive of
altered self-concept. Holds eye contact, independent attitude, and
appropriate appearance are all sig ns of normal self-concept.
DIF: Appl y (application) OBJ: Discuss factors that
influence the components of self -concept and self-esteem.
TOP: Assessment MSC: Psychosocial Integrit y
3. A nurse is caring for a postoperative mastectom y patient. Which action i s
a priority for increasing self -awareness?
a. Solving problems for the patient before developing insight
b. Using communication skills to clarify famil y and patient
expectations
c. Telling the patient that it will be fine because many others have
survived
d. Rotating nursing personnel in the patient’s care, so the patient can
talk to many people
, ANS: B
Increase the patient’s self -awareness by allowing him or her to openl y
explore thoughts and feelings. A priorit y nursing intervention is the
expert use of therapeutic communication skills to clarify the
expectations of a patient and famil y. Interventions designed to help a
patient reach the goal of adapting to changes in self -concept or
attaining a positive self -concept are based on the premise that the
patient first d evelops insight and self -awareness concerning problems
and stressors and then acts to solve the problems and cope with the
stressors. Reassurance that a person will do fine dismisses any
potential concerns the patient may have. Rotating nursing personnel
does not allow time for the patient to build rapport with any one nurse.
DIF: Appl y (application) OBJ: Discuss factors that
influence the components of self -concept and self-esteem.
TOP: Implementation MSC: Psychosocial Integrity
4. The nurse in an addict ions clinic is working with a patient on priorit y
setting before the patient’s discharge from residential treatment. Which
goal is a priority at this time?
a. Identifying local self -help groups before being discharged from the
program
b. Stating a plan to never be tempted by illicit substances after
discharge
c. Staying away from all triggers that cause substance abuse
d. Recognizing personal areas of weakness to grow stronger
ANS: A
