Chapter 17: Self-Concept Responses and Dissociative Disorders

Chapter 17: Self-Concept Responses and Dissociative Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which individual would be at greatest risk for self-esteem disturbance?

a.	A 5-year-old starting school
b.	A 16-year-old high school junior
c.	A 26-year-old licensed practical nurse (LPN) entering a college nursing program
d.	A 45-year-old working toward a master’s degree in business administration

 

 

ANS:  B

Self-esteem is most threatened during adolescence, when concepts of self are being modified and new self-decisions are being made.

 

DIF:    Cognitive Level: Application           REF:   Text Pages: 264-265

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

2. A patient tells a nurse, “I am a weak person.” The patient feels inadequate and vulnerable and states often feeling helpless and frightened. The nursing diagnosis most likely to fit this situation is:

a.	personal identity disturbance.
b.	chronic low self-esteem.
c.	personality fusion.
d.	depersonalization.

 

 

ANS:  B

Self-esteem disturbance is defined as having a negative self-evaluation or negative feelings about self or self-capabilities, which may be directly or indirectly expressed.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 267

TOP:   Nursing Process: Diagnosis|Nursing Process: Analysis

MSC:  NCLEX: Psychosocial Integrity

 

3. A patient reports feeling detached and says, “It feels as though I’m watching a movie as life unfolds. I’m isolated, on the outside and not involved. I really don’t feel anything. I don’t know if I’m alive or dead, awake or sleeping.” The nurse can determine that the patient is describing:

a.	akathisia.
b.	hypomania.
c.	depersonalization.
d.	boundary violations.

 

 

ANS:  C

Depersonalization is characterized by feelings of detachment, isolation, alienation, unreality, confusion, and a dreamlike view of the world.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Pages: 263-264

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. Which individual is most in need of measures to reduce the risk for self-concept disturbance associated with health-illness transition?

a.	A 15-year-old with Crohn disease who states, “An ileostomy will mean I won’t be able to do stuff with my friends.”
b.	An 18-year-old with an above-the-knee double amputation who states, “I guess I’ll be a wheelchair athlete instead of a marathon runner.”
c.	A 30-year-old with blindness caused by glaucoma who states, “My spouse will help me learn Braille.”
d.	A 52-year-old with breast cancer who states, “My life is more valuable than any body part.”

 

 

ANS:  A

Each patient described faces threats to security, self-control, and wholeness. However, the 15-year-old’s perception of the change is the most negative and potentially jeopardizes relationships with peers, thus having a negative effect on self-esteem.

 

DIF:    Cognitive Level: Analysis                REF:   Text Page: 264

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity