NURS 3110: EXAM 3 QUESTIONS
AND ANSWERS
1. A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to
eat, discourages visitors, and pays little attention to her appearance. One morning
the nurse enters the room to see the patient with her hair combed and makeup
applied. Which of the following is the best response from the nurse?
1. "What's the special occasion?"
2. "You must be feeling better today."
3. "This is the first time I've seen you look this good."
4. "I see that you've combed your hair and put on makeup." - answer-4
2. A 30-year-old patient diagnosed with major depressive disorder has a nursing
diagnosis of Situational Low Self-Esteem related to negative view of self. Which of
the following are appropriate interventions by the nurse? (Select all that apply.)
1. Encourage reconnecting with high school friends.
2. Role-play to increase assertiveness skills.
3. Focus on identifying strengths and accomplishments.
4. Provide time for journaling to explore underlying thoughts and feelings.
5. Explore new job opportunities. - answer-3, 4
3. A patient who is depressed is crying and verbalizes feelings of low self-esteem
and self-worth, such as "I'm such a failure ... I can't do anything right." What is the
nurse's best response?
1. Remain with the patient until he or she validates feeling more stable.
2. Tell the patient that is not true and that every person has a purpose in life.
3. Review recent behaviors or accomplishments that demonstrate skill ability.
4. Reassure the patient that you know how he or she is feeling and that things will
get better. - answer-1
4. A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of
Situational Low Self-Esteem. Which of the following nursing interventions are
appropriate to address self-esteem? (Select all that apply.)
1. Offer independent decision-making opportunities.
2. Review previously successful coping strategies.
3. Provide a quiet environment with minimal stimuli.
4. Support a dependent role throughout treatment.
5. Increase calorie intake to promote weight stabilization. - answer-1, 2
5. The nurse can increase a patient's self-awareness and self-concept through which
of the following actions? (Select all that apply.)
1. Helping the patient define personal problems clearly
,2. Allowing the patient to openly explore thoughts and feelings
3. Reframing the patient's thoughts and feelings in a more positive way
4. Having family members assume more responsibility during times of stress
5. Recommending self-help reading materials - answer-1, 2, 3
6. Which of the following assessment findings suggest an altered self-concept?
(Select all that apply.)
1. Uneven gait
2. Slumped posture and poor personal hygiene
3. Avoidance of eye contact when answering a question
4. Requests for visits from the chaplain
5. Frequent use of the call light - answer-2, 3
7. The home health nurse is visiting a 90-year-old man who lives with his 89-year-old
wife. He is legally blind and is 3 weeks' post right hip replacement. He ambulates
with difficulty with a walker. He comments that he is saddened now that his wife has
to do more for him and he is doing less for her. Which of the following is the priority
nursing diagnosis?
1. Impaired Self Toileting
2. Lack of Knowledge Regarding Resources for the Visually Impaired
3. Disturbed Body Image
4. Risk for Situational Low Self-Esteem - answer-4
8. A nurse is working with an older adult who recently moved to an assisted-living
center because of declining physical capabilities associated with the normal aging
process. Which nursing interventions are directed at promoting self-esteem in this
patient?
1. Commending the patient's efforts at completing self-care tasks
2. Assuming that the patient's physical complaints are attention-seeking measures
3. Minimizing time discussing memories and past achievements spent with the
patient
4. Limiting decision-making opportunities for the patient to reduce stress - answer-1
9. A nurse is caring for a 40-year-old male diagnosed with Crohn's disease several
years ago, resulting in numerous hospitalizations each year for the past 3 years.
Which of the following behaviors interfere with the developmental tasks of middle
adulthood? (Select all that apply.)
1. Sends birthday cards to friends and family
2. Refuses visitors while hospitalized
3. Self-absorbed in physical and psychological issues
4. Performs self-care activities
5. Communicates feelings of inadequacy - answer-2, 3, 5
10. When assessing a patient's adjustment to the role changes brought about by a
medical condition such as a stroke, the nurse asks about which of the following?
(Select all that apply.)
, 1. What are your thoughts about returning to work?
2. What questions do you have about your medications?
3. How has your health affected your relationship with your partner?
4. What level of physical activity are you able to perform?
5. What concerns do you have about another stroke? - answer-1, 3
You are assigned to care for a client who has just undergone a mastectomy for a
malignant tumor. You would most appropriately classify this self-concept component
as:
A.identity stressor.
B.sexuality stressor.
C.body image stressor.
D.role performance stressor. - answer-C
You are caring for an adolescent client who underwent a gastric banding procedure
6 months previously. This adolescent tells you, "There is still a fat person inside of
me." This type of statement illustrates a flaw in the self-concept of:
A.identity.
B.self-esteem.
C.body image.
D.role performance. - answer-C
You are assigned to care for a clienr who retired 6 months ago. While providing care,
you identify that this client is struggling emotionally with change. This situation is
most likely associated with the self-concept component of:
A.identity stressor.
B.sexuality stressor.
C.body image stressor.
D.role-performance stressor. - answer-D
Mrs Mcintosh no longer has to care for mr Micintosh. because of this, she is most
likely experiencing which of the following?
A. Role performance stressor
B. Body image disturbance
C. identity attainment
D. Self esteem freedom - answer-A
Mrs. Mcintosh displays signs of altered self-concept during the patient interview with
walter. what are the signs of altered self concept? (select all that apply)
A. avoidance of eye contact
B. Lack of interest
C. Difficulty in making a decision
D. Rapid speech
E. Unkempt appearance - answer-A, B, C, E
AND ANSWERS
1. A 50-year-old woman is recovering from a bilateral mastectomy. She refuses to
eat, discourages visitors, and pays little attention to her appearance. One morning
the nurse enters the room to see the patient with her hair combed and makeup
applied. Which of the following is the best response from the nurse?
1. "What's the special occasion?"
2. "You must be feeling better today."
3. "This is the first time I've seen you look this good."
4. "I see that you've combed your hair and put on makeup." - answer-4
2. A 30-year-old patient diagnosed with major depressive disorder has a nursing
diagnosis of Situational Low Self-Esteem related to negative view of self. Which of
the following are appropriate interventions by the nurse? (Select all that apply.)
1. Encourage reconnecting with high school friends.
2. Role-play to increase assertiveness skills.
3. Focus on identifying strengths and accomplishments.
4. Provide time for journaling to explore underlying thoughts and feelings.
5. Explore new job opportunities. - answer-3, 4
3. A patient who is depressed is crying and verbalizes feelings of low self-esteem
and self-worth, such as "I'm such a failure ... I can't do anything right." What is the
nurse's best response?
1. Remain with the patient until he or she validates feeling more stable.
2. Tell the patient that is not true and that every person has a purpose in life.
3. Review recent behaviors or accomplishments that demonstrate skill ability.
4. Reassure the patient that you know how he or she is feeling and that things will
get better. - answer-1
4. A 20-year-old patient diagnosed with an eating disorder has a nursing diagnosis of
Situational Low Self-Esteem. Which of the following nursing interventions are
appropriate to address self-esteem? (Select all that apply.)
1. Offer independent decision-making opportunities.
2. Review previously successful coping strategies.
3. Provide a quiet environment with minimal stimuli.
4. Support a dependent role throughout treatment.
5. Increase calorie intake to promote weight stabilization. - answer-1, 2
5. The nurse can increase a patient's self-awareness and self-concept through which
of the following actions? (Select all that apply.)
1. Helping the patient define personal problems clearly
,2. Allowing the patient to openly explore thoughts and feelings
3. Reframing the patient's thoughts and feelings in a more positive way
4. Having family members assume more responsibility during times of stress
5. Recommending self-help reading materials - answer-1, 2, 3
6. Which of the following assessment findings suggest an altered self-concept?
(Select all that apply.)
1. Uneven gait
2. Slumped posture and poor personal hygiene
3. Avoidance of eye contact when answering a question
4. Requests for visits from the chaplain
5. Frequent use of the call light - answer-2, 3
7. The home health nurse is visiting a 90-year-old man who lives with his 89-year-old
wife. He is legally blind and is 3 weeks' post right hip replacement. He ambulates
with difficulty with a walker. He comments that he is saddened now that his wife has
to do more for him and he is doing less for her. Which of the following is the priority
nursing diagnosis?
1. Impaired Self Toileting
2. Lack of Knowledge Regarding Resources for the Visually Impaired
3. Disturbed Body Image
4. Risk for Situational Low Self-Esteem - answer-4
8. A nurse is working with an older adult who recently moved to an assisted-living
center because of declining physical capabilities associated with the normal aging
process. Which nursing interventions are directed at promoting self-esteem in this
patient?
1. Commending the patient's efforts at completing self-care tasks
2. Assuming that the patient's physical complaints are attention-seeking measures
3. Minimizing time discussing memories and past achievements spent with the
patient
4. Limiting decision-making opportunities for the patient to reduce stress - answer-1
9. A nurse is caring for a 40-year-old male diagnosed with Crohn's disease several
years ago, resulting in numerous hospitalizations each year for the past 3 years.
Which of the following behaviors interfere with the developmental tasks of middle
adulthood? (Select all that apply.)
1. Sends birthday cards to friends and family
2. Refuses visitors while hospitalized
3. Self-absorbed in physical and psychological issues
4. Performs self-care activities
5. Communicates feelings of inadequacy - answer-2, 3, 5
10. When assessing a patient's adjustment to the role changes brought about by a
medical condition such as a stroke, the nurse asks about which of the following?
(Select all that apply.)
, 1. What are your thoughts about returning to work?
2. What questions do you have about your medications?
3. How has your health affected your relationship with your partner?
4. What level of physical activity are you able to perform?
5. What concerns do you have about another stroke? - answer-1, 3
You are assigned to care for a client who has just undergone a mastectomy for a
malignant tumor. You would most appropriately classify this self-concept component
as:
A.identity stressor.
B.sexuality stressor.
C.body image stressor.
D.role performance stressor. - answer-C
You are caring for an adolescent client who underwent a gastric banding procedure
6 months previously. This adolescent tells you, "There is still a fat person inside of
me." This type of statement illustrates a flaw in the self-concept of:
A.identity.
B.self-esteem.
C.body image.
D.role performance. - answer-C
You are assigned to care for a clienr who retired 6 months ago. While providing care,
you identify that this client is struggling emotionally with change. This situation is
most likely associated with the self-concept component of:
A.identity stressor.
B.sexuality stressor.
C.body image stressor.
D.role-performance stressor. - answer-D
Mrs Mcintosh no longer has to care for mr Micintosh. because of this, she is most
likely experiencing which of the following?
A. Role performance stressor
B. Body image disturbance
C. identity attainment
D. Self esteem freedom - answer-A
Mrs. Mcintosh displays signs of altered self-concept during the patient interview with
walter. what are the signs of altered self concept? (select all that apply)
A. avoidance of eye contact
B. Lack of interest
C. Difficulty in making a decision
D. Rapid speech
E. Unkempt appearance - answer-A, B, C, E
