NURS 2700 - Exam 1 - Professional Nursing
UPDATED ACTUAL Questions and CORRECT
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." - CORRECT
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 - CORRECT 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 - CORRECT 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?"
"Are you comfortable in clothing that exposes more of your body, such as a swimsuit?"
"Overall, how satisfied are you with your body? - CORRECT ANSWER "What size clothing do you wear?"
Rationale:
While it is important to complete a thorough assessment, the nurse should avoid asking personal questions that are
unlikely to substantially add to the assessment data. The question, "What size clothing do you wear?" is not needed
information. The other questions are appropriate to ask when assessing self-concept with regards to body image.
The nurse is admitting a client with anorexia nervosa. The nurse would expect to see the physician order which laboratory
tests? (Select all that apply.)
Complete blood count (CBC)
Creatinine kinase (CK)
Blood urea nitrogen (BUN)
Complete metabolic panel (CMP)
Creatinine - CORRECT ANSWER Complete blood count (CBC)
Blood urea nitrogen (BUN)
Complete metabolic panel (CMP)
Creatinine
Rationale:
A client with anorexia nervosa who is severely dehydrated and malnourished, laboratory studies may include a complete
blood count (CBC) and electrolyte studies, as well as tests to assess kidney function, such as blood urea nitrogen (BUN)
and creatinine, and liver function tests. Creatinine Kinase is a protein released when there is cardiac muscle damage and
is noted when ding cardiac enzyme blood testing.
A student nurse studying preventions of alterations in self-concept is aware that which action is a vital role of the nurse in
regards to wellness promotion?
Develop strategies to promote a healthy self-concept for the client.
Assist clients with identification of strategies to promote a healthy self-concept.
Assist the client with recognition of only the alterations in self that identify poor self-esteem.
UPDATED ACTUAL Questions and CORRECT
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." - CORRECT
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 - CORRECT 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 - CORRECT 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?"
"Are you comfortable in clothing that exposes more of your body, such as a swimsuit?"
"Overall, how satisfied are you with your body? - CORRECT ANSWER "What size clothing do you wear?"
Rationale:
While it is important to complete a thorough assessment, the nurse should avoid asking personal questions that are
unlikely to substantially add to the assessment data. The question, "What size clothing do you wear?" is not needed
information. The other questions are appropriate to ask when assessing self-concept with regards to body image.
The nurse is admitting a client with anorexia nervosa. The nurse would expect to see the physician order which laboratory
tests? (Select all that apply.)
Complete blood count (CBC)
Creatinine kinase (CK)
Blood urea nitrogen (BUN)
Complete metabolic panel (CMP)
Creatinine - CORRECT ANSWER Complete blood count (CBC)
Blood urea nitrogen (BUN)
Complete metabolic panel (CMP)
Creatinine
Rationale:
A client with anorexia nervosa who is severely dehydrated and malnourished, laboratory studies may include a complete
blood count (CBC) and electrolyte studies, as well as tests to assess kidney function, such as blood urea nitrogen (BUN)
and creatinine, and liver function tests. Creatinine Kinase is a protein released when there is cardiac muscle damage and
is noted when ding cardiac enzyme blood testing.
A student nurse studying preventions of alterations in self-concept is aware that which action is a vital role of the nurse in
regards to wellness promotion?
Develop strategies to promote a healthy self-concept for the client.
Assist clients with identification of strategies to promote a healthy self-concept.
Assist the client with recognition of only the alterations in self that identify poor self-esteem.
