QUESTIONS & 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." 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 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 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?"