Self-Concept NCLEX Questions and Answers with verified solutions

Self-Concept NCLEX Questions and Answers with verified solutions 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 best to address self-esteem? A: Offer independent decision-making opportunities B: Review previously successful coping strategies C: Provide a quiet environment with minimal stimuli D: Support a dependent role throughout treatment - ANS- A: Offer independent decision-making opportunities A depressed patient is crying and verbalizes feelings of low self-esteem and self-worth such as "I'm such a failure...I can't do anything right." The best nursing response would be to: A: Remain with the patient until he or she stops crying. B: Tell the patient that is not true and that every person has a purpose in life. C: Review recent behaviors or accomplishments that demonstrate skill ability. D: Reassure the patient that you know how he is feeling and that things will get better - ANS- A: Remain with the patient until he or she stops crying. A patient diagnosed with major depressive disorder has a nursing diagnosis of chronic low self-esteem related to negative view of self. Which of the following would be the most appropriate cognitive intervention by the nurse? A: Promote active socialization with other patients B: Role play to increase assertiveness skills C: Focus on identifying strengths and accomplishments D: Encourage journaling of underlying feelings - ANS- C: Focus on identifying strengths and accomplishments An adult woman is recovering from a mastectomy for breast cancer and is frequently tearful when left alone. The nurse's approach should be based on an understanding of which of the following: A: Patients need support in dealing with the loss of a body part. B: The patient's family should take the lead role in providing support. C: The nurse should explain that breast tissue is not essential to life. D: The patient should focus on the cure of the cancer rather than loss of the breast. - ANS- A: Patients need support in dealing with the loss of a body part. An appropriate nursing diagnosis for an individual who experiences confusion in the mental picture of his physical appearance is: A: Acute confusion. B: Disturbed body image. C: Chronic low self-esteem. D: Situational low self-esteem. - ANS- B: Disturbed body image. Based on knowledge of Erikson's stages of growth and development, the nurse plans her nursing care with the knowledge that old age is primarily focused on: A: Intimacy versus Isolation. B: Autonomy versus Shame and Doubt. C: Generativity versus Self-Absorption. D: Ego Integrity versus Despair. - ANS- D: Ego Integrity versus Despair. Based on knowledge of the developmental tasks of Erikson's Industry versus Inferiority, the nurse emphasizes proper technique for use of an inhaler with a 10-year-old boy so he will: A: Increase his self-esteem with mastery of a new skill. B: Accept changes in his appearance and physical endurance. C: Experience success in role transitions and increased responsibilities. D: Appreciate his body appearance and function. - ANS- A: Increase his self-esteem with mastery of a new skill. Following a bilateral mastectomy, a 50-year-old patient refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the patient with her hair combed and makeup applied. Which of the following is the best response from the nurse? A: "What's the special occasion?" B: "You must be feeling better today." C: "This is the first time I have seen you look this good." D: "I see that you've combed your hair and put on makeup." - ANS- D: "I see that you've combed your hair and put on makeup." In planning nursing care for an 85-year-old male, the most important basic need that must be met is: A: Assurance of sexual intimacy. B: Preservation of self-esteem. C: Expanded socialization. D: Increase in monthly income. - ANS- B: Preservation of self-esteem. Several staff members complain about a patient's constant questions such as "Should I have a cup of coffee or a cup of tea?" and "Should I take a shower now or wait until later?" Which interpretation of the patient's behavior helps the nurses provide optimal care? A; Asking questions is attention-seeking behavior. B: Inability to make decisions reflects a self-concept issue. C: Dependence on staff must be stopped immediately. D: Indecisiveness is aimed at testing how the staff reacts. - ANS- B: Inability to make decisions reflects a self-concept issue. 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? A: Self-care deficit, toileting B: Deficient knowledge regarding resources for the visually impaired C: Disturbed body image D: Risk for situational low self-esteem - ANS- D: Risk for situational low self-esteem The nurse asks the patient, "How do you feel about yourself?" The nurse is assessing the patient's: A: Identity. B: Self-esteem. C: Body image. D: Role performance. - ANS- B: Self-esteem. The nurse can increase a patient's self-awareness through which of the following actions? (Select all that apply.) A: Helping the patient define her problems clearly B: Allowing the patient to openly explore thoughts and feelings C: Reframing the patient's thoughts and feelings in a more positive way D: Have family members assume more responsibility during times of stress - ANS- A: Helping the patient define her problems clearly B: Allowing the patient to openly explore thoughts and feelings C: Reframing the patient's thoughts and feelings in a more positive way When caring for an 87-year-old patient, the nurse needs to understand that which of the following most directly influences the patient's current self-concept: A: Attitude and behaviors of relatives providing care B: Caring behaviors of the nurse and health care team C: Level of education, economic status, and living conditions D: Adjustment to role change, loss of loved ones, and physical energy - ANS- D: Adjustment to role change, loss of loved ones, and physical energy When developing an appropriate outcome for a 15-year-old girl, the nurse considers that a primary developmental task of adolescence is to: A: Form a sense of identity. B: Create intimate relationships. C: Separate from parents and live independently. D: Achieve positive self-esteem through experimentation. - ANS- A: Form a sense of identity.