NUR 335 Self-Concept Review Questions and Correct Answers
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Course
NUR 335
Institution
NUR 335
The nurse is caring for an 87-year-old patient. What factor most directly influences this patient's current self-concept? Adjustment to role change, loss of loved ones, and physical energy
Older adults experience significant challenges to self-concept, including mental and physical changes associa...
NUR 335 Self-Concept Review Questions
and Correct Answers
The nurse is caring for an 87-year-old patient. What factor most directly influences this
patient's current self-concept? ✅Adjustment to role change, loss of loved ones, and
physical energy
Older adults experience significant challenges to self-concept, including mental and
physical changes associated with aging and changes in identity and roles following
retirement and/or loss of significant others. The adjustment to stressors is most
important. The other influences are important but to a lesser degree.
A 20-year-old woman who lives with her parents gives birth to a baby. Around the same
time, her parents adopt a 5-year-old child. The young woman is overwhelmed and has
difficulty balancing her role as a mother with her role as a sister. What kind of role
performance stressor does the woman experience? ✅Role conflict
Role conflict happens when a person has to assume two or more inconsistent roles.
This new mother is trying to cope with the physical and psychological burdens of raising
a child and is stressed by the addition of a new relationship with a young sibling,
creating role conflicts. Role ambiguity occurs when a person is confused and not sure of
his or her role. Role strain results from role conflict and role ambiguity. When a person
has more responsibilities within a role than she can manage, she experiences role
overload.
Which statement made by a patient with cancer reflects positive thoughts about
personal health? ✅"I have the ability to get well quickly."
A person's belief about personal health helps the nurse to understand the patient's self-
concept. The patient who feels he or she has the ability to get well reflects positive
thoughts about personal health. A verbalization such as, "I will not get better soon,"
indicates that the patient is suffering from chronic illnesses. If the patient states that he
or she is a burden to his or her family, it indicates negative perceptions about personal
health. The patient who states, "I can't stand to look at myself anymore" is indicating
that he or she does not have positive thoughts about personal health.
When developing an appropriate outcome for a 15-year-old girl, what primary
developmental task of adolescence should the nurse consider? ✅The ability to form a
sense of identity
Understanding developmental tasks across the life span is essential in designing
nursing care. Adolescents are focused on establishing their identities outside of their
families and should be supported in meeting this developmental task.
, The nurse is teaching a 10-year-old patient about personal hygiene. What observation
would indicate that the child has not reached an age-appropriate developmental stage?
✅An inability to understand and master brushing technique
As per Erikson's developmental stages, a 10-year-old child should be able to
understand and reinforce information provided and master new skills, such as the basic
hygiene tasks the nurse discusses. A person starts to accept age-related body changes
and begins to establish goals in adolescence, but may not do so as young as 10 years
of age. The assessment of life goals is not expected until adulthood. Setting goals for
the future, such as deciding which school to attend or what career to pursue, is a
developmental behavior for children 12 to 20 years old.
A patient underwent six cycles of chemotherapy for her cancer. She lost all of her hair
due to drug effects. She is very worried and says, "My children may find me ugly. I will
not be able to tolerate that." What stressor is most affecting her self-concept? ✅Body
Image
The patient is very concerned about her physical appearance and is worried that her
children will be shocked on seeing her with no hair. She has low self-concept related to
body image. Chemotherapy does not affect the patient's self-concept as much as body
image. The patient does not doubt herself in the role of a mother and is not facing any
identity issues.
A person tries to meet the strenuous demands of employment while taking care of a
family of six and manages to fulfill the responsibilities with great difficulty. What kind of
role performance stressor is affecting this person? ✅Role overload
When the expectations and responsibilities of a role are unmanageable, it is referred to
as role overload. A person may experience role overload when trying to meet
employment demands and caring for a family. Role conflict happens when a person has
to assume two or more inconsistent and mutually exclusive roles. Role ambiguity occurs
when a person is confused and not sure of his or her role. Role strain results from role
conflict and role ambiguity combined.
In planning nursing care for an 85-year-old male, what is the most important, basic need
that must be met? ✅Preservation of self-esteem
Self-esteem is essential for physical and psychological health across the life span.
Based on knowledge of the developmental tasks of Erikson's industry-versus-inferiority
stage, the nurse emphasizes proper technique for use of an inhaler with a 10-year-old
boy. Why does the nurse do this? ✅It increases the patient's self-esteem with the
mastery of a new skill.
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