Chapter 39 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 39 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

Which statement, made by the client, would indicate a “me-centered” self-concept?

1. “I couldn’t stand to disappoint my parents.”
2. “My sister is so much smarter than I am.”
3. “My future is based on the decisions I make today.”
4. “The world has always been against people like me.”

Correct Answer: 3

Rationale 1: This statement reflects a high need for approval of others, which is not me-centered.

Rationale 2: This statement reflects a comparison with others.

Rationale 3: Individuals with a positive self-concept are me-centered and value how they perceive themselves over the opinions of others and have learned to depend on themselves. This is reflected in the statement, “My future is based on the decisions I make today.”

Rationale 4: Other-centered persons compare themselves with others and often believe the world is against them. This outward focus results in a poorer self-concept.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1. Summarize the development of self-concept and self-esteem, including the framework described by Erikson.

MNL Learning Outcome: 2.2.2. Examine the components of the self-concept and the associated nursing care.

Page Number: 922

Question 2

Type: MCSA

The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses’ self-concept along with information to use with clients. Why is the information for nurses important?

1. The nurse’s self-concept is more important than the client’s.
2. Poor self-concept is the number-one reason for nursing burnout.
3. Nurses with positive self-concept are better able to help clients.
4. Nurses with poor self-concept are more likely to make errors.

Correct Answer: 3

Rationale 1: The nurse’s self-concept is not more important than the client’s, but it is of equal importance in the nurse–client relationship.

Rationale 2: There is no evidence that nurses with poor self-concept burn out earlier than nurses with good self-concept.

Rationale 3: Nurses who have positive self-concept are better prepared to assist clients with their own understanding of needs, desires, feelings, and conflicts.

Rationale 4: There is no evidence that nurses with poor self-concept make more errors than nurses with good self-concept.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 2. Describe the dimensions and components of self-concept.

MNL Learning Outcome: 2.2.2. Examine the components of the self-concept and the associated nursing care.

Page Number: 922

Question 3

Type: MCSA

The newly graduated nurse is working with a mentor who has been a nurse for 25 years. The mentor tells the new graduate, “I learn something new about nursing every day.” What does this indicate about the mentor’s self-awareness?

1. This nurse is not very self-aware.
2. The mentor’s self-awareness is behind normal development.
3. Because this mentor has been a nurse for so long, self-awareness is no longer an important issue.
4. Because self-awareness is never complete, this nurse is demonstrating desirable behavior.

Correct Answer: 4

Rationale 1: The mentor’s comment about “learning something new about nursing everyday” demonstrates self-awareness.

Rationale 2: Although this mentor has been a nurse for 25 years, there is still room for growth and development of self-awareness.

Rationale 3: Although this mentor has been a nurse for 25 years, there is still room for growth and development of self-awareness.

Rationale 4: Self-awareness takes time and energy and is never completed. This nurse is demonstrating desirable behavior in that there is still intellectual humility and a desire to learn.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. Describe the dimensions and components of self-concept.

MNL Learning Outcome: 2.2.2. Examine the components of the self-concept and the associated nursing care.

Page Number: 922