PSYCHIATRIC MENTAL HEALTH
DISORDERS
Self-Concept Review
Exam
Q&A
2024
,1. Which of the following statements best describes the concept of self-
esteem?
a) The degree to which a person values and respects oneself
b) The degree to which a person feels confident and competent
c) The degree to which a person likes and accepts oneself
d) The degree to which a person trusts and believes in oneself
Answer: C. Self-esteem is the degree to which a person likes and accepts
oneself, regardless of their strengths and weaknesses. Self-esteem is
influenced by many factors, such as personal experiences, feedback from
others, social comparisons, and cultural norms.
2. A nurse is caring for a client who has major depressive disorder and
low self-esteem. The client says, "I'm worthless and hopeless. No one
cares about me." What is the most appropriate response by the nurse?
a) "That's not true. You have many positive qualities and people who love
you."
b) "How long have you been feeling this way? Can you tell me more
about it?"
c) "You shouldn't say such negative things about yourself. You need to be
more optimistic."
d) "I'm sorry you feel that way. How can I help you feel better about
yourself?"
Answer: D. The nurse should express empathy and offer support to the
client, without dismissing or challenging their feelings. The nurse should
also encourage the client to identify their strengths and achievements, and
provide positive feedback.
3. A nurse is conducting a group therapy session for clients who have
schizophrenia and impaired self-concept. The nurse asks the clients to
share something they are proud of or grateful for. One of the clients says,
"I'm proud that I finished high school, even though it was hard." How
should the nurse respond?
a) "That's great. How did you manage to overcome the difficulties?"
b) "That's good. What are your plans for the future?"
c) "That's nice. What else are you proud of or grateful for?"
d) "That's wonderful. How does that make you feel about yourself?"
, Answer: D. The nurse should reinforce the client's positive self-evaluation
and help them connect it to their self-concept. The nurse should also use
open-ended questions to elicit more information and feelings from the
client.
4. A nurse is assessing a client who has borderline personality disorder
and distorted self-concept. The client says, "I hate myself. I'm either
perfect or a failure. There's no in-between." What is the best way for the
nurse to document this finding?
a) The client exhibits signs of low self-esteem and self-loathing.
b) The client exhibits signs of splitting and black-and-white thinking.
c) The client exhibits signs of self-criticism and perfectionism.
d) The client exhibits signs of mood swings and impulsivity.
Answer: B. Splitting and black-and-white thinking are cognitive
distortions that involve seeing oneself and others as either all good or all
bad, without any shades of gray. These distortions can lead to unstable
self-concept, relationships, and emotions.
5. A nurse is planning an intervention for a client who has bipolar disorder
and impaired self-concept. The client has unrealistic expectations of
themselves and others, and often feels disappointed and frustrated when
they are not met. What is the most appropriate goal for this intervention?
a) The client will demonstrate increased self-awareness and insight into
their condition.
b) The client will demonstrate improved coping skills and stress
management techniques.
c) The client will demonstrate realistic goal-setting and problem-solving
abilities.
d) The client will demonstrate enhanced social skills and interpersonal
relationships.
Answer: C. The client needs to learn how to set realistic and attainable
goals for themselves and others, and how to deal with obstacles and
challenges in a constructive way. This will help them improve their self-
concept, as well as their mood and functioning.
6. A nurse is evaluating the outcome of an intervention for a client who
has post-traumatic stress disorder (PTSD) and impaired self-concept. The
intervention involved cognitive-behavioral therapy (CBT), which aimed to
DISORDERS
Self-Concept Review
Exam
Q&A
2024
,1. Which of the following statements best describes the concept of self-
esteem?
a) The degree to which a person values and respects oneself
b) The degree to which a person feels confident and competent
c) The degree to which a person likes and accepts oneself
d) The degree to which a person trusts and believes in oneself
Answer: C. Self-esteem is the degree to which a person likes and accepts
oneself, regardless of their strengths and weaknesses. Self-esteem is
influenced by many factors, such as personal experiences, feedback from
others, social comparisons, and cultural norms.
2. A nurse is caring for a client who has major depressive disorder and
low self-esteem. The client says, "I'm worthless and hopeless. No one
cares about me." What is the most appropriate response by the nurse?
a) "That's not true. You have many positive qualities and people who love
you."
b) "How long have you been feeling this way? Can you tell me more
about it?"
c) "You shouldn't say such negative things about yourself. You need to be
more optimistic."
d) "I'm sorry you feel that way. How can I help you feel better about
yourself?"
Answer: D. The nurse should express empathy and offer support to the
client, without dismissing or challenging their feelings. The nurse should
also encourage the client to identify their strengths and achievements, and
provide positive feedback.
3. A nurse is conducting a group therapy session for clients who have
schizophrenia and impaired self-concept. The nurse asks the clients to
share something they are proud of or grateful for. One of the clients says,
"I'm proud that I finished high school, even though it was hard." How
should the nurse respond?
a) "That's great. How did you manage to overcome the difficulties?"
b) "That's good. What are your plans for the future?"
c) "That's nice. What else are you proud of or grateful for?"
d) "That's wonderful. How does that make you feel about yourself?"
, Answer: D. The nurse should reinforce the client's positive self-evaluation
and help them connect it to their self-concept. The nurse should also use
open-ended questions to elicit more information and feelings from the
client.
4. A nurse is assessing a client who has borderline personality disorder
and distorted self-concept. The client says, "I hate myself. I'm either
perfect or a failure. There's no in-between." What is the best way for the
nurse to document this finding?
a) The client exhibits signs of low self-esteem and self-loathing.
b) The client exhibits signs of splitting and black-and-white thinking.
c) The client exhibits signs of self-criticism and perfectionism.
d) The client exhibits signs of mood swings and impulsivity.
Answer: B. Splitting and black-and-white thinking are cognitive
distortions that involve seeing oneself and others as either all good or all
bad, without any shades of gray. These distortions can lead to unstable
self-concept, relationships, and emotions.
5. A nurse is planning an intervention for a client who has bipolar disorder
and impaired self-concept. The client has unrealistic expectations of
themselves and others, and often feels disappointed and frustrated when
they are not met. What is the most appropriate goal for this intervention?
a) The client will demonstrate increased self-awareness and insight into
their condition.
b) The client will demonstrate improved coping skills and stress
management techniques.
c) The client will demonstrate realistic goal-setting and problem-solving
abilities.
d) The client will demonstrate enhanced social skills and interpersonal
relationships.
Answer: C. The client needs to learn how to set realistic and attainable
goals for themselves and others, and how to deal with obstacles and
challenges in a constructive way. This will help them improve their self-
concept, as well as their mood and functioning.
6. A nurse is evaluating the outcome of an intervention for a client who
has post-traumatic stress disorder (PTSD) and impaired self-concept. The
intervention involved cognitive-behavioral therapy (CBT), which aimed to
