Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 17: Self-Concept Responses and Dissociative Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
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