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
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
