Module 29 Self

Module 29   Self

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Self

 

1) A client explains that before leaving for work, the children need to be taken to daycare and dinner prepared. The nurse realizes this client might be experiencing which of the following?

1. A) Self-esteem
2. B) Role mastery
3. C) Role conflict
4. D) Role ambiguity

Answer:  C

Explanation:  A) Role conflicts arise when there are incompatibilities with expectations. The client is expected to be at work, care for children, and make dinner. All of these expectations could lead to the client’s experiencing role conflict. Role mastery occurs when a person’s behaviors meet social expectations. Role ambiguity occurs when expectations are unclear and people do not know what to do or how to do it and are unable to predict the reactions of others to their actions. Self-esteem is one’s own judgment of one’s worth.

1. B) Role conflicts arise when there are incompatibilities with expectations. The client is expected to be at work, care for children, and make dinner. All of these expectations could lead to the client’s experiencing role conflict. Role mastery occurs when a person’s behaviors meet social expectations. Role ambiguity occurs when expectations are unclear and people do not know what to do or how to do it and are unable to predict the reactions of others to their actions. Self-esteem is one’s own judgment of one’s worth.
2. C) Role conflicts arise when there are incompatibilities with expectations. The client is expected to be at work, care for children, and make dinner. All of these expectations could lead to the client’s experiencing role conflict. Role mastery occurs when a person’s behaviors meet social expectations. Role ambiguity occurs when expectations are unclear and people do not know what to do or how to do it and are unable to predict the reactions of others to their actions. Self-esteem is one’s own judgment of one’s worth.
3. D) Role conflicts arise when there are incompatibilities with expectations. The client is expected to be at work, care for children, and make dinner. All of these expectations could lead to the client’s experiencing role conflict. Role mastery occurs when a person’s behaviors meet social expectations. Role ambiguity occurs when expectations are unclear and people do not know what to do or how to do it and are unable to predict the reactions of others to their actions. Self-esteem is one’s own judgment of one’s worth.

Page Ref: 1834

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  1. Summarize the psychosocial processes related to self-concept.

 

2) A client tells the nurse about feeling pressure to spend every Sunday with family. However, the spouse does not want to participate and stays at home waiting for the client to return. The nurse realizes this client’s self-concept is being determined by which of the following?

1. A) Family and culture
2. B) History of successes and failures
3. C) Stressors
4. D) Resources

Answer:  A

Explanation:  A) The client is conflicted because the family has one set of expectations and the spouse has another. This will adversely affect the client’s self-concept. Stressors are those events that either cause an individual to become stronger or respond in a maladaptive way. Resources can be internal or external. Internal resources are confidence and values; external resources include a support network, finances, and organizations. A history of successes and failures can impact self-concept. People with a history of failures will tend to see themselves as failures and view life in a negative way. Those with a history of successes will often have a positive self-concept and view their lives as successful.

1. B) The client is conflicted because the family has one set of expectations and the spouse has another. This will adversely affect the client’s self-concept. Stressors are those events that either cause an individual to become stronger or respond in a maladaptive way. Resources can be internal or external. Internal resources are confidence and values; external resources include a support network, finances, and organizations. A history of successes and failures can impact self-concept. People with a history of failures will tend to see themselves as failures and view life in a negative way. Those with a history of successes will often have a positive self-concept and view their lives as successful.
2. C) The client is conflicted because the family has one set of expectations and the spouse has another. This will adversely affect the client’s self-concept. Stressors are those events that either cause an individual to become stronger or respond in a maladaptive way. Resources can be internal or external. Internal resources are confidence and values; external resources include a support network, finances, and organizations. A history of successes and failures can impact self-concept. People with a history of failures will tend to see themselves as failures and view life in a negative way. Those with a history of successes will often have a positive self-concept and view their lives as successful.
3. D) The client is conflicted because the family has one set of expectations and the spouse has another. This will adversely affect the client’s self-concept. Stressors are those events that either cause an individual to become stronger or respond in a maladaptive way. Resources can be internal or external. Internal resources are confidence and values; external resources include a support network, finances, and organizations. A history of successes and failures can impact self-concept. People with a history of failures will tend to see themselves as failures and view life in a negative way. Those with a history of successes will often have a positive self-concept and view their lives as successful.

Page Ref: 1834

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  2. Examine the relationship between self-concept and other concepts/systems.

3) A college student tells the nurse about being “out of control” with eating. She is trying to keep her body weight down so her mother does not call her fat, and she does this by making herself throw up. The nurse realizes the client is experiencing which of the following?

1. A) Binge-eating
2. B) Anorexia nervosa
3. C) Bulimia
4. D) Purging disorder

Answer:  C

Explanation:  A) In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.

1. B) In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.
2. C) In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.
3. D) In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism, weight fear, significant weight loss, body image disturbances, strenuous exercising, and peculiar food-handling patterns. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.

Page Ref: 1838

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  3. Identify commonly occurring alterations in self-concept and their related therapies.

 

4) During an assessment, a client tells the nurse that she “can’t stand her mother” and does “whatever she wants me to do” because the client “can’t do anything right anyway.” This information is helpful for the nurse in determining the client’s

1. A) personal identity.
2. B) role performance.
3. C) self-esteem.
4. D) body image.

Answer:  C

Explanation:  A) The client is critical of her mother, verbalizes feelings of helplessness by saying that she does whatever her mother wants her to do, and is critical of self by saying she cannot do anything right. These findings help the nurse assess the client’s self-esteem. Role performance would be assessed by asking the client about the different roles held and the satisfaction with each of the roles. Body image would be assessed by asking the client how she feels about her appearance. Personal identity would be assessed by asking the client to describe personal characteristics and self-concept.

1. B) The client is critical of her mother, verbalizes feelings of helplessness by saying that she does whatever her mother wants her to do, and is critical of self by saying she cannot do anything right. These findings help the nurse assess the client’s self-esteem. Role performance would be assessed by asking the client about the different roles held and the satisfaction with each of the roles. Body image would be assessed by asking the client how she feels about her appearance. Personal identity would be assessed by asking the client to describe personal characteristics and self-concept.
2. C) The client is critical of her mother, verbalizes feelings of helplessness by saying that she does whatever her mother wants her to do, and is critical of self by saying she cannot do anything right. These findings help the nurse assess the client’s self-esteem. Role performance would be assessed by asking the client about the different roles held and the satisfaction with each of the roles. Body image would be assessed by asking the client how she feels about her appearance. Personal identity would be assessed by asking the client to describe personal characteristics and self-concept.
3. D) The client is critical of her mother, verbalizes feelings of helplessness by saying that she does whatever her mother wants her to do, and is critical of self by saying she cannot do anything right. These findings help the nurse assess the client’s self-esteem. Role performance would be assessed by asking the client about the different roles held and the satisfaction with each of the roles. Body image would be assessed by asking the client how she feels about her appearance. Personal identity would be assessed by asking the client to describe personal characteristics and self-concept.

Page Ref: 1841

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  4. Differentiate common assessment procedures used to examine self-concept across the life span.

 

5) An adult client tells the nurse, “No matter what I do, I never can make my parents happy.” What can the nurse do to assist this client’s self-concept?

1. A) Suggest that the client reduce the amount of time spent with her parents.
2. B) Remind the client that she is educated, and has a great career and good marriage.
3. C) Suggest the client turn the tables and express the same dissatisfaction with her parents.
4. D) Tell the client that she is too old to be listening to her parents.

Answer:  B

Explanation:  A) To improve or support the client’s self-concept, the nurse needs to help the client identify strengths. Reminding the client about education, career, and marriage is identifying strengths. Suggesting the client reduce time spent with parents, telling the client that she is too old to be listening to her parents, or suggesting the client express dissatisfaction with the parents are all inappropriate responses and do not help the client identify strengths.

1. B) To improve or support the client’s self-concept, the nurse needs to help the client identify strengths. Reminding the client about education, career, and marriage is identifying strengths. Suggesting the client reduce time spent with parents, telling the client that she is too old to be listening to her parents, or suggesting the client express dissatisfaction with the parents are all inappropriate responses and do not help the client identify strengths.
2. C) To improve or support the client’s self-concept, the nurse needs to help the client identify strengths. Reminding the client about education, career, and marriage is identifying strengths. Suggesting the client reduce time spent with parents, telling the client that she is too old to be listening to her parents, or suggesting the client express dissatisfaction with the parents are all inappropriate responses and do not help the client identify strengths.
3. D) To improve or support the client’s self-concept, the nurse needs to help the client identify strengths. Reminding the client about education, career, and marriage is identifying strengths. Suggesting the client reduce time spent with parents, telling the client that she is too old to be listening to her parents, or suggesting the client express dissatisfaction with the parents are all inappropriate responses and do not help the client identify strengths.

Page Ref: 1842

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Implementation

Learning Outcome:  6. Explain management of psychosocial wellness and prevention of alterations in self-concept.