Nokea
A sophomore in high school has missed a great deal of school due to treatment of leukemia. They stated they feel that they are falling behind in everything, and miss "hanging out at the mall" with friends most of all. What statement by the nurse is most appropriate?
- A. "It sounds like you don't know who you are anymore..."
- B. "Have the changes in your body since your diagnosis affected you?"
- C. "How are you viewing yourself these days?"
- D. "This must be difficult as adolescents' friends are very important to them."
Correct Answer: D
Rationale: Important roles for this adolescent include student and a friend; the illness is preventing them from doing either of these well, which reflects a disturbance in role performance. Stating that it sounds like you don't know who you are anymore is a question related to personal identity disturbance; asking about changes in the body would relate to disturbed body image; asking how are you viewing yourself these days relates to self-esteem disturbance.
You may also like to solve these questions
A nurse is conducting a parent workshop on how to build self-esteem in children. Which teaching points would the nurse include to help parents achieve this goal? Select all that apply.
- A. Reinforce their child's positive qualities.
- B. Overlook occasional negative behavior.
- C. Ignore neutral behavior that is a matter of personal preference.
- D. Listen and "fix things" for their children.
- E. Describe the child's behavior and judge it.
- F. Let their children practice skills and make it safe to fail.
Correct Answer: A,C,F
Rationale: The nurse should include the following teaching points for parents: (1) reinforce their child's positive qualities; (2) address negative qualities constructively; (3) ignore neutral behavior that is a matter of taste, preference, or personal style. Parents should allow children to be challenged or fail, rather than "fix things" for their children; avoid judgmental observations and let their child know what to expect, practice the necessary skills, be patient, and make it safe to fail.
A patient who has been in the United States only 3 months has recently suffered the loss of partner and job. They state that nothing feels familiar-"I don't know who I am supposed to be here"-and says "I miss home terribly." For what alteration in self-concept is this patient most at risk?
- A. Disturbed (or Risk for Disturbed) Personal Identity
- B. Disturbed Body Image
- C. Chronic (or Risk for Chronic) Low Self-Esteem or Situational (or Risk for Situational) Low Self-Esteem
- D. Impaired Role Performance
Correct Answer: A
Rationale: An unfamiliar culture, coupled with traumatic life events such as loss of husband and job, result in this patient's total loss of their sense of self, supported by the statement: "I don't know who I am supposed to be here."
A nurse is counseling a couple who have decided that the wife will provide financial support for the family while the husband attends pharmacy school. The husband plans to work 16 hours weekly, while attending school and states, "I was always an A student, but I might have to settle for Bs now because I don't want to neglect my family." How would the nurse document the husband's self-expectations?
- A. Realistic and positively motivating their development
- B. Unrealistic and negatively motivating their development
- C. Unrealistic but positively motivating their development
- D. Realistic but negatively motivating their development
Correct Answer: A
Rationale: The patient's self-expectations are realistic, given their multiple commitments, and seem to be positively motivating their self-development.
A nurse is providing care for a patient with cancer who is approaching the end of life. Which nursing interventions will the nurse use to help the patient to maintain a positive sense of self? Select all that apply.
- A. Making a point to address the patient by name upon entering the room
- B. Avoiding fatiguing the patient by performing all procedures in silence
- C. Performing care in a manner that respects the patient's privacy and preferences
- D. Offering the patient a simple explanation before moving them in any way
- E. Ignoring the patient's negative feelings since they are part of the grieving process
- F. Avoiding conversing with the patient about their life, family, and occupation
Correct Answer: A,C,D
Rationale: Interventions to assist the patient to maintain a positive sense of self include addressing the patient by name when entering the room; performing care in a manner that respects the patient's privacy; offering simple explanations before moving the patient; acknowledging the patient's status, role, and individuality; and conversing with the patient about the patient's life experiences.
A nurse asks a patient who has few descriptors of themselves to list facts, traits, or qualities that they would like to apply to themselves. The patient quickly lists 25 traits of a successful person, stating, "My father is like this; I wish I were like him." How does the nurse best interpret the discrepancy between the patient's description of themselves as they are and how they would like to be seen?
- A. The patient suffers from a negative self-concept.
- B. This person demonstrates modesty (lack of conceit).
- C. This individual has a disturbed body image.
- D. The patient likely has a low self-esteem.
Correct Answer: D
Rationale: The nurse can obtain a quick indication of a patient's self-esteem by using a graphic description of self-esteem as the discrepancy between the "real self" (what we think we really are) and the "ideal self" (what we think we would like to be). The greater the discrepancy, the lower the self-esteem; the smaller the discrepancy, the higher the self-esteem.