Test Bank for Basic Geriatric
Nursing 8th Edition by
Patricia A. Williams
{Chapter 11-15}
Chapter 11: Self-Perception and Self-
Concept
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The long-term care facility nurse is aware that the resident most at risk for suicide related
to depression is which resident?
a. 70-year-old man with diabetes
b. 75-year-old woman with chronic obstructive pulmonary disease
c. 80-year-old woman with a bipolar disorder
d. 85-year-old man with schizophrenia
ANS: C
, Persons with affective disorders are most at risk for suicide related to depression.
DIF: 7 REF: p. 218 OBJ: 5 TOP: Suicide Risk
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. An older adult in a long-term care facility has been diagnosed with depression. Which
activity would indicate a need for further assessment of suicide risk?
a. Asking for assistance in writing a will
b. Voicing the intention to visit his brother
c. Donating excess clothing to charity
d. Asking the young widow next door for a dinner date
ANS: A
Making or altering a will is an indication of suicidal ideation.
DIF: 5 REF: p. 218 OBJ: 5 TOP: Suicide Risk
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. The 70-year-old patient who had a stroke 3 months ago has a body image disturbance
related to a spastic right arm and contracted fingers of the right hand. In which manner
will the nurse assist the patient in improving her body image?
a. Teach her to write with her left hand.
b. Place articles within easy reach of her left hand.
c. Actively listen to the patient’s concerns and demonstrate acceptance.
d. Show her massage techniques to increase circulation in her right arm.
ANS: C
, Listening to the patient’s concerns and demonstrating acceptance will improve her
body image will improve the patient’s body image. Learning to write with the left
hand, learning massage techniques, and being able to reach items are good nursing
care but do nothing for enhancement of body image.
DIF: 7 REF: p. 218 OBJ: 9 TOP: Suicide Ideation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The newly admitted 80-year-old resident sits in the room and stares at the TV all day.
Which action by the nurse would best aid the patient in increasing self-esteem?
a. Encouraging participation in self-care activities
b. Suggesting changing the channel to an intellectually stimulating program
c. Giving her privacy until the resident becomes accustomed to the long-term care
facility
d. Arranging for a meal tray rather than having the resident eat in the dining room
ANS: A
Participation in self-care activities increases self-esteem and independence and puts
the resident in control of her appearance.
DIF: 5 REF: p. 220 OBJ: 9 TOP: Altered Body Image
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
5. The 75-year-old resident newly admitted to a long-term care facility seems fearful of the
surroundings and is frequently tearful, saying, “I don’t know what to do!” What action by
the nurse would most help decrease her fear?
a. Help the resident identify and verbalize her specific fears.
b. Assure the resident that she has nothing to be afraid of.
c. Keep the light on in the resident’s room 24 hours a day.
, d. Play quiet music on the resident’s radio.
ANS: A
Identification of specific fears helps crystallize the resident’s concern and can help
define the remedy.
DIF: 5 REF: p. 221 OBJ: 9 TOP: Support to Self Esteem
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
6. Which activity can the nurse do to assist a resident who is experiencing anxiety?
a. Stimulate her with group activity.
b. Sedate her to allow her to sleep.
c. Provide her with coffee for relaxation.
d. Offer her a diversion of a quiet activity.
ANS: D
Involving the resident who is experiencing anxiety in a pleasant activity such as music
therapy, conversation, or a craft can allay anxiety. Stimulation frequently adds to
anxiety, and sedation does not address the need for anxiety-reducing coping skills.
DIF: 5 REF: p. 223 OBJ: 9 TOP: Allaying Fear
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
7. Which factor will have the largest impact on maintaining a positive self-perception?
a. Ability to control life’s choices
b. Financial success attained in life
c. Family relationships
d. Degree of wellness
Nursing 8th Edition by
Patricia A. Williams
{Chapter 11-15}
Chapter 11: Self-Perception and Self-
Concept
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The long-term care facility nurse is aware that the resident most at risk for suicide related
to depression is which resident?
a. 70-year-old man with diabetes
b. 75-year-old woman with chronic obstructive pulmonary disease
c. 80-year-old woman with a bipolar disorder
d. 85-year-old man with schizophrenia
ANS: C
, Persons with affective disorders are most at risk for suicide related to depression.
DIF: 7 REF: p. 218 OBJ: 5 TOP: Suicide Risk
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. An older adult in a long-term care facility has been diagnosed with depression. Which
activity would indicate a need for further assessment of suicide risk?
a. Asking for assistance in writing a will
b. Voicing the intention to visit his brother
c. Donating excess clothing to charity
d. Asking the young widow next door for a dinner date
ANS: A
Making or altering a will is an indication of suicidal ideation.
DIF: 5 REF: p. 218 OBJ: 5 TOP: Suicide Risk
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. The 70-year-old patient who had a stroke 3 months ago has a body image disturbance
related to a spastic right arm and contracted fingers of the right hand. In which manner
will the nurse assist the patient in improving her body image?
a. Teach her to write with her left hand.
b. Place articles within easy reach of her left hand.
c. Actively listen to the patient’s concerns and demonstrate acceptance.
d. Show her massage techniques to increase circulation in her right arm.
ANS: C
, Listening to the patient’s concerns and demonstrating acceptance will improve her
body image will improve the patient’s body image. Learning to write with the left
hand, learning massage techniques, and being able to reach items are good nursing
care but do nothing for enhancement of body image.
DIF: 7 REF: p. 218 OBJ: 9 TOP: Suicide Ideation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The newly admitted 80-year-old resident sits in the room and stares at the TV all day.
Which action by the nurse would best aid the patient in increasing self-esteem?
a. Encouraging participation in self-care activities
b. Suggesting changing the channel to an intellectually stimulating program
c. Giving her privacy until the resident becomes accustomed to the long-term care
facility
d. Arranging for a meal tray rather than having the resident eat in the dining room
ANS: A
Participation in self-care activities increases self-esteem and independence and puts
the resident in control of her appearance.
DIF: 5 REF: p. 220 OBJ: 9 TOP: Altered Body Image
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
5. The 75-year-old resident newly admitted to a long-term care facility seems fearful of the
surroundings and is frequently tearful, saying, “I don’t know what to do!” What action by
the nurse would most help decrease her fear?
a. Help the resident identify and verbalize her specific fears.
b. Assure the resident that she has nothing to be afraid of.
c. Keep the light on in the resident’s room 24 hours a day.
, d. Play quiet music on the resident’s radio.
ANS: A
Identification of specific fears helps crystallize the resident’s concern and can help
define the remedy.
DIF: 5 REF: p. 221 OBJ: 9 TOP: Support to Self Esteem
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
6. Which activity can the nurse do to assist a resident who is experiencing anxiety?
a. Stimulate her with group activity.
b. Sedate her to allow her to sleep.
c. Provide her with coffee for relaxation.
d. Offer her a diversion of a quiet activity.
ANS: D
Involving the resident who is experiencing anxiety in a pleasant activity such as music
therapy, conversation, or a craft can allay anxiety. Stimulation frequently adds to
anxiety, and sedation does not address the need for anxiety-reducing coping skills.
DIF: 5 REF: p. 223 OBJ: 9 TOP: Allaying Fear
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
7. Which factor will have the largest impact on maintaining a positive self-perception?
a. Ability to control life’s choices
b. Financial success attained in life
c. Family relationships
d. Degree of wellness
