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The client has just learned that his motorcycle accident has resulted in his left leg being amputated. When helping this client form goals and strategies for realistic goals, the nurse needs to assess the client's:
1. Ideal and perceived self-concept
2. Intellectual and spiritual strengths
3. Involvement with significant others
4. Interests and past accomplishments

Ideal and perceived self-concept

A client is manifesting behaviors that are consistent with a negative self-concept. The nurse that is working with him has observed that the client maintains:
1. Frequent eye contact
2. Independence in self-care
3. A passive personal attitude
4. An interest in the surroundings

A passive personal attitude

A 76-year-old client who recently lost his wife is admitted for surgery. The nurse is using Erikson as a psychosocial framework for client assessment. Which of the following behaviors would alert the nurse that the client has an alteration in the integrity stage of his psychosocial development?
1. Accepting his own limitations
2. Verbalizing fear about the surgery
3. Expressing his thoughts about his care
4. Demanding excessive assistance from his daughter

Demanding excessive assistance from his daughter

A client, while receiving therapies for lung cancer, has been hospitalized for an extended period of time. She has become very depressed, refuses visitors, and does not participate in personal grooming. In order for the nurse to assist in achieving resolution of the client's problem, he should have the client:
1. Get washed and dressed independently
2. Think positively instead of negatively
3. Contact a support group and explore a psychological consultation
4. Become more physically independent and return to prior activities

Contact a support group and explore a psychological consultation

The client is on the orthopedic unit following back surgery. He states, "I feel like I can't do anything anymore--and I won't be able to continue my landscaping business." This is predominantly an example of a problem in which of the following components of self-concept?
1. Body image
2. Self-esteem
3. Identity
4. Role

Role

A recently divorced client, who is a lawyer, comes to the clinic. She has gotten custody of her two teenagers and states, "It is going to be impossible for me to raise my children the way I'd like and keep working as hard as I do." This is an example of:
1. Role strain
2. Role conflict
3. Role ambiguity
4. Gender role sterotype

Role conflict

A prostitute with HIV and severe complications is being cared for on a medical unit. The nurse is seeking to develop a therapeutic relationship with the client. Which of the following statements reflects the nurse's attempt to support the client's self-exploration?
1. "What type of support do you feel you need?"
2. "Don't be embarrassed by your former occupation."
3. "What type of schedule could allow you to eat without being nauseated?"
4. "The people who work here are professionals; we'll not judge your past actions."

"What type of support do you feel you need?"

A school-age client has just been diagnosed with juvenile diabetes. The client is very angry about the new disease. Which of the following statement is most appropriate for the nurse counselor working with this client?
1. "Try not to be angry. You are receiving the best care possible."
2. "You appear upset about the diagnosis. Let's talk about your feelings."
3 "You learn quickly and will probably handle the difficult treatments very well."
4. "It is all right to be angry with your friends, but try not to be angry with your parents."

"You appear upset about the diagnosis. Let's talk about your feelings.

A client's biggest concern is about the interactions that she has with her family, and she is in the process of establishing a positive view of herself. Which group is the client meeting the developmental needs of:
1. 12- to 20-year-old age-group
2. Early 20s to mid-40s age group
3. Mid-40s to mid-60s age-group
4. late 60s and older age-group

Early 20s to mid-40s age-group

In developing role behavior, the child learns which of the following through substitution?
1. Internalizing beliefs and values of role models
2. Refraining from behavior even though tempted.
3. Avoiding unacceptable behavior because it is punished.
4. Engaging in an acceptable behavior instead of another unacceptable one

Engaging in an acceptable behavior instead of another unacceptable one

The nurse recongnizes that self-concept develops throughout an individual's lifetime. Which developmental task associated with self-concept is expected in an assessment of an individual from the 12- to 20-year-old age-group?
1. Identifying with a gender
2. Exploring goals for the future
3. Distinguishing oneself from the environment
4. Feeling positive about one's life achievements.

Exploring goals for the future

The nurse is working with a client and wants to learn about the individual's perception of identity. What question should the nurse use to assess this?
1. "What changes would you make in your appearance?"
2. "Which activities do you enjoy doing?"
3. "How would you describe yourself?"
4. What is your usual day like?"

"How would you describe yourself?"

The client has very recently been let go from his place of employment and is very upset about the loss. The nurse is establishing a plan of care for the client, she deterines that an appropriate outcome for this client with situational low self-esteem is:
1. Client will recognize his inability to make decisions
2. Client will repond to anxiety with decreased amounts of stress.
3. Client will use therapeutic communication skills to discuss his needs.
4. Client will discuss a minimum of two areas where he is functioning well.

Client will discuss a minimum of two areas where he is functioning well.

Which of the following statements best reflects an understanding of the definition of negative client self-concept?
1. "Acne is very difficult to deal with, especially for a youngster."
2. "Managing typ e2 diabetes can be very challenging for the client."
3. "An above teh knee amputation requires extensive physical therapy."
4. Cinical depression can make things like going to work quite difficult."

"Acne is very difficult to deal with, especially for a youngster."

The nurse recongnizes which of the following clients is at greatest risk of developing negative self-esteem?
1. A 35-year-old woman who has been diagnosed morbidly obese.
2. A 53-year-old male avid golfer who has lost two fingers on his right hand.
3. A 63-year-old man experiencing erectile dysfunction post prostatectomy.
4. A 14-year-old girl with a facial scar resulting from an automobile accident.

A 14-year-old girl with a facial scar resulting from an automobile accident

A 73-year-old client who is no longer working as a cabinetmaker begins to make statements that suggest negative self-concept. This is most likely related to:
1. The prospect of limited financial and health care resources
2. The loss of family members and friends to dealth and illness
3. The physical changes the aging process has had on his health and body
4. The perceived loss of respect others once has for his woodworking abilities.

The physical changes the aging process has had on his health and body

A client is seen in a walk-in clinic for a sinus infection. Which of the following statements made by the client shows the most positive attitude regarding personal health?
1. "I haven't missed work due to illness in over 15 years."
2. "When do I need to return to the clinic for a follow-up?"
3. "I don't like taking medications unless I really need them."
4. "Should I be concerned about giving this infection to someone else?"

"I haven't missed work due to illness in over 15 years."

The nurse expects which of the following healthy clients to present with the best view of self-esteem?
1. 8-year-old boy
2. 18-year-old male adolescent
3. 38-year-old woman
4. 58-year-old woman

8-year-old boy

The nurse is assessing a 16 year old who has been diagnosed with a sexually transmitted disease (STD). The nurse realizes that such risk-taking behavior (e.g., unprotected sex) is most often a result of:
1. Peer pressure
2. Poor self-esteem
3. Social expectation
4. Lack of information

Poor self-esteem

The nurse is assessing a 16 year old who has been diagnosed with a sexually transmitted diease (STD). The nurse realizes that suck risk-taking behavior is often a predictor of even more serious self-destructive behaviors, and so this client should be:
1. Screened for illegal drug use
2. Assessed for suicidal ideations
3. Interviewed regarding alcohol consumption
4. Provided information regarding birth control

Assessed for suicidal ideations

A 73-year-old client shares with the nurse that she feels so useless, especially now that arthritis makes her life-long hobby of hand sewing so painful as to make it almost impossible. Which of the following nursing responses is most therapeutic given the client's current poor self-esteem image?
1. "What is it about sewing that makes it so enjoyable for you?"
2. "I'm sure your sewing is beautiful; have you ever considered teaching others to sew?"
3. "Maybe you can find something else that will give you as much satisfaction about yourself."
4. "We can attempt to find the proper pain management plan to minimize the discomfort so you can sew again."

"I'm sure your sewing is beautiful; have you ever considered teaching others to sew?"

Which of the following statements best relects the client's perception of the female role?
1. "My wife bakes the best bread."
2. "All of my daughters are stay-at-home moms."
3. "I don't understand why a woman would want to be a coal miner."
4. "We are so proud; our granddaughter got accepted into law school."

"We are so proud; our granddaughter got accepted into law school."

Research has shown that Caucasian girls and women appear to experience more pressure to be physically thin than do African American girls and women. The most likely reson for this variation in attitude is the:
1. Caucasian culture values physical thinness.
2. African American culture does not value physical thinness
3. Caucasian girls and women are genetically programmed for physical thinness
4. Aftican American girls and women are not genetically programmed for physical thinness.

African American culture does not value physical thinness

A 12-year-old girl's expressed goal to be "super thin" is a body image issue influenced primarily by:
1. Peer pressure
2. Societal values
3. Teenage role modeling
4. Normal developmental changes.

Societal values

Which of the following statement best relects a client's healthy sense of identity?
1. "My name is Susan."
2. "My children are my world."
3. "I'm looking for my perfect job."
4. "I'm happiest wehn I get to exercise regularly."

"I'm happiest wehn I get to exercise regularly."

Which of the following physical changes that are commonly seen during puberty would be most likely to cause body image problems for a 12-year-old girl?
1. having her first menstrual period
3. Growing 3 inches of the summer
3. Experiencing a substantial increase in breast size.
4. Experiencing hair growth on legs and underarms.

Experiencing a substantial increase in breast size.

Which of the following statemtns, regarding the physical changes that are associated with the normal aging process, made by a 63-year-old female client best relects a negative sense of body image?
1. "I felt old when I had to buy bifocal glasses."
2. "My aging joints just don't allow me to hike like I use to."
3. "In order to be successful at my work, I need to dye away the gray hair."
4. "It's much more difficult to socialize with friends now that I can't hear as well."

"In order to be successful at my work, I need to dye away the gray hair."

Which of the following statements best reflects a client's healthy sense of self-esteem?
1. " I always try to do the best I can."
2. "I'll keep trying till I get it right."
3. "I'm not good at it but I enjoy playing the guitar."
4. "If I can't buildit, it isn't worth being built."

" I always try to do the best I can."

The best indication that a client will regain a good sense of self esteem after experiencing a secong below the knee (BTK) amputation is:
1. The client stating, "I'll get over this setback"
2. A solid caring relationship with family and friends
3. A healthy sense of self esteem after the first amputation
4. The client telling his wife, "i'll still be able to wrk from a wheelchair."

A healthy sense of self esteem after the first amputation

Which of the following nursing actions will have the most therapeutic impact on the self-esteem of a client with HIV?
1. Dealing with the client's needs in a nonjudgemental manner
2. Being aware of how the client will react based on the client's culture
3. Providing care that will meet the client's emotional and physical needs
4. Being careful to avoid nonverbal communication that could be misinterpreted

Dealing with the client's needs in a nonjudgemental manner

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