C HAPTER 33: S ELF -C ONCEPT
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. A 73-year-old client who is no longer working as a cabinetm aker begins to
make statements that suggest negative self -concept. This is most likel y
related to:
A. The prospect of limited financial and health care resources
B. The loss of famil y members and friends to death and illness
C. The physical changes the aging proces s has had on his health and
body
D. The perceived loss of respect others once had for his woodworking
abilities
ANS: C
Evidence suggests that sense of self is often negativel y affected in
older adulthood because of the intensit y of emotional and physical
changes associated with aging. The remaining options can be factors in
the self-concept of the older client but are not as predictable as the
effect of physical aging.
DIF: C REF: 411 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan des ignation: Safe, Effective
Care Environment
,2. A client is seen in a walk -in clinic for a sinus infection. Which of the
following statements made by the client shows the most positive attitude
regarding personal health?
A. I haven’t missed work due to illness in over 15 years.
B. When do I need to return to the clinic for a follow -up?
C. I don’t like taking medications unless I reall y need them.
D. Should I be concerned about giving this infection to someone else?
ANS: A
How individuals view themselves and their percept ion of their health
are closel y related. A clients belief in personal health often enhances
his or her self -concept. Statements such as I can get through anything
or I’ve never been sick a day in m y life indicate that a persons
thoughts about personal heal th are positive. The remaining options may
reflect the clients personal opinion regarding aspects of health and
health care but not as directl y as pride in past good health.
DIF: C REF: 411 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment
3. The nurse expects which of the following healthy clients to present with
the best view of self - esteem?
A. 8-year-old boy
B. 18-year-old male adolescent
C. 38-year-old woman
D. 58-year-old woman
ANS: A
, Self-esteem is usually highest in childhood, drops during adolescence,
rises graduall y throughout adulthood, and declines again in old age.
Although variabilit y exists, in general this pattern holds true across
gender, socioeconomic status, and ethnicity.
DIF: A REF: 412 OBJ: Comprehension TOP: Nursing
Process: Evaluation MSC: NC LEX test plan designation:
Safe, Effective Care Environment
4. The nurse is assessing a 16 -year-old who has been diagnosed with a
sexuall y transmitted disease (STD). The nurse realizes that su ch risk-
taking behavior (e.g., unprotected sex) is most often a result of:
A. Peer pressure
B. Poor self-esteem
C. Social expectation
D. Lack of information
ANS: B
For some adolescents, a decline in self -esteem results in increased risk -
taking behavior. This is demo nstrated in unsafe behaviors such as
premature sexual activit y, unprotected sex, risky driving, or substance
abuse. The remaining options represent factors that may affect decision
making but they do not have as big an impact on this age -group as is
poor self-esteem.
DIF: C REF: 412 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. A 73-year-old client who is no longer working as a cabinetm aker begins to
make statements that suggest negative self -concept. This is most likel y
related to:
A. The prospect of limited financial and health care resources
B. The loss of famil y members and friends to death and illness
C. The physical changes the aging proces s has had on his health and
body
D. The perceived loss of respect others once had for his woodworking
abilities
ANS: C
Evidence suggests that sense of self is often negativel y affected in
older adulthood because of the intensit y of emotional and physical
changes associated with aging. The remaining options can be factors in
the self-concept of the older client but are not as predictable as the
effect of physical aging.
DIF: C REF: 411 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan des ignation: Safe, Effective
Care Environment
,2. A client is seen in a walk -in clinic for a sinus infection. Which of the
following statements made by the client shows the most positive attitude
regarding personal health?
A. I haven’t missed work due to illness in over 15 years.
B. When do I need to return to the clinic for a follow -up?
C. I don’t like taking medications unless I reall y need them.
D. Should I be concerned about giving this infection to someone else?
ANS: A
How individuals view themselves and their percept ion of their health
are closel y related. A clients belief in personal health often enhances
his or her self -concept. Statements such as I can get through anything
or I’ve never been sick a day in m y life indicate that a persons
thoughts about personal heal th are positive. The remaining options may
reflect the clients personal opinion regarding aspects of health and
health care but not as directl y as pride in past good health.
DIF: C REF: 411 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment
3. The nurse expects which of the following healthy clients to present with
the best view of self - esteem?
A. 8-year-old boy
B. 18-year-old male adolescent
C. 38-year-old woman
D. 58-year-old woman
ANS: A
, Self-esteem is usually highest in childhood, drops during adolescence,
rises graduall y throughout adulthood, and declines again in old age.
Although variabilit y exists, in general this pattern holds true across
gender, socioeconomic status, and ethnicity.
DIF: A REF: 412 OBJ: Comprehension TOP: Nursing
Process: Evaluation MSC: NC LEX test plan designation:
Safe, Effective Care Environment
4. The nurse is assessing a 16 -year-old who has been diagnosed with a
sexuall y transmitted disease (STD). The nurse realizes that su ch risk-
taking behavior (e.g., unprotected sex) is most often a result of:
A. Peer pressure
B. Poor self-esteem
C. Social expectation
D. Lack of information
ANS: B
For some adolescents, a decline in self -esteem results in increased risk -
taking behavior. This is demo nstrated in unsafe behaviors such as
premature sexual activit y, unprotected sex, risky driving, or substance
abuse. The remaining options represent factors that may affect decision
making but they do not have as big an impact on this age -group as is
poor self-esteem.
DIF: C REF: 412 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment
