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Chapter 33 Self-Concept-Fundamentals of Nursing

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Chapter 33 Self-Concept-Fundamentals of Nursing

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Chapter 33: Self-Concept ra ra




MULTIPLE CHOICE ra




1.
When caring for an olderadult hospital client , which technique will the nursin
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g attendant use to enhance an older-adult hospital client ’s self-concept? a.
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Discussing current weather ra ra




b. Encouraging hospital client s to sing ra ra ra ra ra




c. Reviewing old photos with hospital client s ra ra ra ra ra ra




d. Allowing hospital client s extra computer time ra ra ra ra ra ra




ACCURATE ar



ANSWER:-C
Nursing attendant s can improve self- ra ra ra ra ra



concept by reviewing old photographs when working with olderadult hospital client s. This for
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m of life review is helpful to older adults in remembering positiv
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e life events and people. Discussing weather does not involve personal reflection.
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Singing does not improve selfconcept. Giving hospital client s extra computer time is not applica
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ble to improving selfconcept but may help with learning.
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DIF:Apply (application) ra



OBJ:Discuss factors that influence the components of self- ra ra ra ra ra ra ra



concept and selfesteem. TOP:Implementation MSC: Psychosocial Integrity
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2. While gathering an adolescent’s health history, the nursing attendant recognizes that the
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hospital client began to act out behaviorally and engaged in risky behavior when the hos
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pital client ’s parents divorced. Which information will the nursing attendant gather to h
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elp in determining situational low self-esteem? a. How long the parents were married?
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b. How the hospital client views behaviors? ra ra ra ra ra




c. Why the parents are divorcing? ra ra ra ra




d. Why the hospital client is acting out of control? ra ra ra ra ra ra ra ra




ACCURATE ar



ANSWER:-B
A nursing attendant can identify situational life stressors that can impact a person’s self concept.
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By asking about a hospital client ’s thoughts and feelings, the nursing attendant wi
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ll be able to use communication skills in a therapeutic manner. This will facilitate the hospita
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l client ’s insight into behaviors and will enable the nursing attendant to make referrals or pr
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ovide needed health teaching. The length of time married and the reason for the parents’ divo
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rce do not explain the hospital client ’s behaviors. Why the hospital client is acting out of co
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ntrol is not as important as how the hospital client views actions when out of control.
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DIF:Analyze (analysis) ra



OBJ:Analyze ways in which a nursing attendant ’s selfconcept and nursing actions affect a hospital c
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lient ’s self-concept and self-esteem.
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TOP:Assessment MSC:
Psychosocial Integrity ra

,3. A nursing attendant is assessing a group of adolescents. Which person is most likely to have t
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he highest self-esteem?
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, a. Latino adolescent female who has strong ethnic pride.
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b. Caucasian boy who lives below federal poverty level. ra ra ra ra ra ra ra




c. African-American adolescent male who has severe acne. ra ra ra ra ra ra




d. Adolescent who was suspended twice from high school. ra ra ra ra ra ra ra




ACCURATE ANSWER:-A ra



When cultural identity is central to self-
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concept and is positive, cultural pride and selfesteem tend to be strong. Environmental stressors
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such as income, body image, and role perfo
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rmance while influences are not as strongly associated with self-esteem.
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DIF:Analyze (analysis) ra



OBJ:Examine cultural considerations that affect self- ra ra ra ra ra



concept and selfesteem. TOP:Assessment ra MSC: Psychosocial Integrity
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4. A nursing attendant is caring for a hospital client who is dealing with the developmental task
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known as initiative versus guilt. The nursing attendant is providing care to which hospital cl
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ient ? ra




a. A 3-week-old neonate ra ra




b. A 5-year-old kindergarten student
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c. An 11-year-old student ra ra




d. A 15-year-old high school student
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ACCURATE ANSWER:-B ra



The initiative versus guilt developmental stage occurs between the ages of 3 and 6 years. The
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hospital client is a 5-year- ra ra ra ra



old kindergarten student. If a child shows initiative, the outcome of this developmental task i
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s to develop purpose. A neonate developmental task is to develop trust. An 11-
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yearold student is into new skill mastery (industry), and a 15-
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yearold student is struggling with identity versus role confusion.
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DIF:Understand (comprehension) ra



OBJ:List the components of self- ra ra ra ra



concept as related to psychosocial and cognitive developmental stages. TOP:Implementation M
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SC: Health Promotion and Maintenance ra ra ra




5. A verbally abusive partner has told a significant other many negative comments over th
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ey ar



ears. In the crisis center, the nursing attendant would anticipate that the hospital client
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may have which self-concept deficits? a. Body image
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b. Role confusion ra




c. Rigidity
d. Yearning
ACCURATE ANSWER:-A ra



Over the years of marriage, the significant other incorporates this devaluation into his or her
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own selfconcept, negatively affecting body image. The way others view a person’s body and theA
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CCUR ATE ANSWER:-offered are also influential on body image and self-concept.
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Role confusion is part of a developmental task (identity versus role confusion) for adolescent
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s. Rigidity and yearning are not components of self-concept.
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DIF:Understand (comprehension) ra

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