Concept Questions And Answers 2022
The nursing student can help geriatric patients' self-concept by using which
technique?
a. Discussing current weather
b. Reviewing old photos with patients
c. Encouraging patients to sing
d. Allowing patients extra computer time - Answer- B
Nurses can improve self-image by reviewing old photographs when working with
elderly patients. This form of life review is helpful to older adults in remembering
positive life events and people. Discussing weather does not involve personal
reflection. Singing improves global cognition, not self-concept. Giving patients extra
computer time is not applicable to improving self-concept.
While gathering an adolescent's health history, the nurse recognizes that the patient
began to act out behaviorally and engage in risky behavior when her parents
divorced. In considering an altered self-concept nursing diagnosis, the nurse would
gather what information?
a. How long the parents were married
b. How the patient views her behaviors
c. Why the parents are divorcing
d. Why she is acting out of control - Answer- B
A nurse can identify situational life stressors that can impact a person's self-concept.
By openly exploring a patient's thoughts and feelings, the nurse will be able to use
communication skills in a therapeutic manner. This will facilitate the patient's insight
into behaviors and will enable the nurse to make referrals or provide needed health
teaching. The length of time married and the reason for the parents' divorce do not
explain the patient's behaviors. Why the patient is out of control is not as important
as how the patient views her actions when out of control.
Based on the following data, which person is likely to have the highest self-esteem?
a. Latino adolescent female who has strong ethnic pride
b. Caucasian boy who lives below federal poverty level
c. African American adolescent male who has sever acne
d. Adolescent who was suspended twice from high school - Answer- A
Ethnic and cultural differences in self-concept and self-esteem have been noted
across the life span. Ethnic pride and self-esteem often are positively correlated.
Environmental stressors such as low-income, body image stressors such as acne,
and role performance failure often influence self-esteem negatively.
The developmental self-concept task known as initiative versus guilt would occur in
which person?
a. 3-week-old neonate
b. 5-year-old kindergarten student
c. 11-year-old student
d. 15-year-old high school student - Answer- B
, The initiative versus guilt developmental stage occurs between the ages of 3 and 6
years. If a child shows initiative, the outcome of this developmental task is to develop
purpose. A neonate developmental task is to develop trust. An 11-year-old is into
new skill mastery, and a 15-year-old is struggling with identity versus role confusion.
A verbally abusive partner has told his significant other many negative comments
over the years. In the crisis center, the nurse would anticipate that the patient may
have which of the following self-concept deficits?
a. Body image
b. Role conflict
c. Rigidity
d. Yearning - Answer- A
Consistent negative comments can cause devaluation of an individual's self-concept.
The impact of negative self-esteem can invade all areas of a person's life, including
body image. Role confusion is part of a developmental task (identity versus role
confusion). Rigidity and yearning are not components of self-concept.
Two 50-year-old men are discussing their Saturday activities. The first man
describes how he tutors children as a volunteer at a community center. The other
man says that he would never work with children, and that he prefers to work out at
the gym to meet young women to date. The second man's statement reflects which
developmental stage?
a. Inferiority
b. Role confusion
c. Self-absorption
d. Mistrust - Answer- C
In the generativity versus self-absorption developmental task, a self-absorbed
person is concerned about his or her own personal wants and desires in a self-
centered manner. Mistrust versus trust occurs in the first year of life. Industry versus
inferiority commonly occurs in school children. Identity versus role confusion
commonly occurs at the start of adolescence into young adulthood.
An adult is adjusting to the idea of his chronically ill parent moving into the family
home. The community health nurse would assess the adult son for which potential
stressor secondary to the new family living arrangement?
a. Role confusion
b. Role ambiguity
c. Role performance
d. Role overload - Answer- D
Role overload involves having more roles or responsibilities within a role than are
manageable. Role overload is common in individuals who unsuccessfully attempt to
meet the demands of work and family while trying to find some personal time. Role
confusion is an aspect of the developmental task of adolescence and young
adulthood (identity versus role confusion). Role ambiguity involves unclear role
expectations. Role performance itself is not a stressor unless it is judged ineffective.
A nurse who grimaces when seeing a patient's colostomy opening while changing
the colostomy bag is most likely to have what effect on the patient?
a. Assist recovery by using honest communication
b. Motivate the patient to increase physical activity