NURS 2700 - Exam 1 - Professional Nursing Study Guide With Accurate Answers.

The nursing instructor is discussing self-concept with a nursing student. Which comment made by the nursing student indicates the need for further teaching? "The nurse is responsible for exploring and optimizing her own self-concept." "A negative self-concept can lead to struggles with building interpersonal relationships." "Self-concept only affects an individual mentally and spiritually." "A negative self-concept can increase an individual's susceptibility to physical and psychological illnesses." - correct answer "Self-concept only affects an individual mentally and spiritually." Rationale: The comment made by the student nurse that "self-concept not only affects an individual mentally and spiritually," indicates the need for further instruction because self-concept also affects and individual physically. The remaining comments made by the student nurse indicate an understanding of self-concept. A negative self-concept can lead to struggles with adapting to change and building interpersonal relationships. In addition, a negative self-concept can increase an individual's susceptibility to physical and psychological illnesses. Furthermore, because an individual's self-concept impacts interpersonal relationships, including nurse-client relationships, it is a nurse's responsible for exploring and optimizing her own self-concept. The pediatric nurse caring for an infant is aware that an infant demonstrating the differentiation of their own voice from another's voice is demonstrating which component of self? Role performance Self-concept Self-esteem Self-awareness - correct answer Self-awareness Rationale: Formation of a reality-based perception of the real self requires self-awareness. Development of self-awareness begins in infancy, as infants learn to distinguish themselves from other individuals and objects in their environment. Self-concept is the personal perception of self that forms in response to interactions with others and the environment throughout the course of an individual's lifetime. The demonstration of behaviors or actions associated with a given role is called role performance. Self-esteem is an individual's opinion of himself. The nurse is caring for a client with prader-willi syndrome (PWS). Which manifestation would the nurse expect to find when assessing this client? Hypogonadism Regurgitation Nutritional deficiency Sleepwalking - correct answer Hypogonadism Rationale: Due to hormonal deficiencies, these clients exhibit impaired physical growth and hypogonadism (underdevelopment of the sex organs). Treatment for clients with PWS may include hormonal therapies, as well as mental health services to address comorbid conditions. Rumination disorder describes the repeated regurgitation of food outside the presence of a medical condition (e.g., pyloric stenosis, gastroesophageal reflux). Nocturnal sleep-related eating disorder (NSRED) is characterized by an initial period of insomnia, followed by an episode of sleepwalking or semiconsciousness, during which time the affected individual consumes unusual foods or non-food items. Avoidant/restrictive food intake disorder is characterized as a disturbance in eating patterns manifested by failure to meet nutritional needs. The nursing instructor is evaluating the student nurses knowledge with regards to assessment of self-concept with regards to body image. Which comment made by the student nurse would be inappropriate? "What do you think when you look at your body in a mirror?" "What size clothing do you wear?" "Are you comfortable in clothing that exposes more of your body, such as a swimsuit?" "Overall, how satisfied are you with your body? - correct answer "What size clothing do you wear?" Rationale: While it is important to complete a thorough assessment, the nurse should avoid asking personal questions that are unlikely to substantially add to the assessment data. The question, "What size clothing do you wear?" is not needed information. The other questions are appropriate to ask when assessing self-concept with regards to body image. The nurse is admitting a client with anorexia nervosa. The nurse would expect to see the physician order which laboratory tests? (Select all that apply.) Complete blood count (CBC) Creatinine kinase (CK) Blood urea nitrogen (BUN) Complete metabolic panel (CMP) Creatinine - correct answer Complete blood count (CBC) Blood urea nitrogen (BUN)