Foundations Of Nursing 6th Edition by Barbara Lauritsen Christensen – Test Bank

Test Bank For Nursing 6th Edition by Barbara Lauritsen Christensen

1. ISBN-10

   0323057322
2. ISBN-13

   978-0323057325
3. Chapter 11: Self-Perception and Self-Concept

   Test Bank

   MULTIPLE CHOICE

   1. A caution from the nurse to a group of senior citizens that one of the greatest harm to self-esteem is evaluating self against:
   a. internal beliefs.
   b. individual values.
   c. external standards.
   d. expressions of positive feedback.

   ANS: C
   Relying on external standards rather than internal values is an insufficient foundation for self-esteem. Utilizing positive feedback and personal values promotes a positive perception of self-esteem.
   DIF: Cognitive Level: Comprehension REF: 200 OBJ: 1
   TOP: Self-Esteem KEY: Nursing Process Step: Implementation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   2. It is noted by the nurse that a positive self-perception largely depends on the:
   a. ability to manage life’s decisions.
   b. achievements in wealth.
   c. familial connections.
   d. level of physical wellness.

   ANS: A
   Taking responsibility for life’s decisions enhances and sustains a positive self-perception.
   DIF: Cognitive Level: Comprehension REF: 201 OBJ: 1
   TOP: Self-Perception KEY: Nursing Process Step: Evaluation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   3. The nurse recognizes that a primary indicator of a positive self-image in an elderly individual residing in a long-term care facility is:
   a. self-feeding ability.
   b. maintaining urinary continence.
   c. receiving family visits weekly.
   d. well-groomed appearance and fashionable attire.

   ANS: D
   Maintaining neat grooming and personal appearance are crucial signs of a positive self-image.
   DIF: Cognitive Level: Application REF: 201 OBJ: 1
   TOP: Self-Image KEY: Nursing Process Step: Evaluation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   4. By explaining that older adults often opt for cosmetic surgery to preserve their youthful looks and self-esteem due to ageism portraying old age as:
   a. a passive group of self-absorbed individuals.
   b. a cohort choosing isolation.
   c. physically incapable and unproductive.
   d. a retired yet active community.

   ANS: C
   Negative perceptions of old age as physically incapable, unproductive, and inherently unattractive have been perpetuated by ageism.
   DIF: Cognitive Level: Comprehension REF: 202 OBJ: 1
   TOP: Ageism KEY: Nursing Process Step: Implementation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   5. The nurse at the long-term care facility observes that the most devastating blow to the self-esteem of the elderly is institutional placement as individuals in such facilities:
   a. are seen as a uniform group.
   b. have unmet personal needs.
   c. lose various aspects of their identity.
   d. lack social interactions.

   ANS: C
   The losses of home, spouse, vehicle, and autonomy in decision-making significantly impact one’s self-image, even if social interactions and personal needs are fulfilled.
   DIF: Cognitive Level: Application REF: 202 OBJ: 2
   TOP: Institutionalization KEY: Nursing Process Step: Evaluation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   6. Clarification by the nurse that the absence of emotional support from family members through death or separation causes the elderly to feel:
   a. unloved and unworthy.
   b. resentful of the seclusion.
   c. undeserving of attention.
   d. compelled to be self-reliant.

   ANS: A
   Lacking an emotional support system leads the elderly to feel unloved and unworthy.
   DIF: Cognitive Level: Evaluation REF: 203 OBJ: 2
   TOP: Emotional Support KEY: Nursing Process Step: Implementation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   7. The nurse explains that placement in a long-term care facility often triggers a sense of:
   a. abandonment.
   b. security.
   c. new beginnings.
   d. immediate assistance available.

   ANS: A
   To many elderly individuals, placement equates to rejection, despite the inevitability and necessity of the situation.
   DIF: Cognitive Level: Comprehension REF: 203 OBJ: 1
   TOP: Long-Term Care Facility Placement KEY: Nursing Process Step: Implementation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   8. The admission nurse at the long-term care facility suggests that to facilitate the elderly’s transition to a new environment, family members should:
   a. send cards or gifts instead of personal visits.
   b. visit and call regularly to affirm care and concern.
   c. restrict contact for a few weeks to promote independence.
   d. communicate with the facility staff to inquire about the resident’s well-being.

   ANS: B
   Frequent visits and calls from loved ones help bolster self-esteem and self-worth in newly admitted residents.
   DIF: Cognitive Level: Application REF: 203 OBJ: 2
   TOP: Long-Term Care Facility Placement KEY: Nursing Process Step: Implementation
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

   9. Take into account by the nurse that nearly half of older adults experiencing depression:
   a. reside at home with a partner.
   b. live alone.
   c. are residents of long-term care facilities.
   d. are hospitalized.

   ANS: D
   Studies indicate that 46% of hospitalized older adults exhibit signs of depression.
   DIF: Cognitive Level: Comprehension REF: 203 OBJ: 4
   TOP: Depression KEY: Nursing Process Step: Planning
   MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
   10. Prompted by a change in affect in a typically positive resident at the long-term care facility, the nurse suspects the initiation of a medication regimen involving:
   a. erythropoietin.
   b. corticosteroids.
   c. calcium supplementation.
   d. broad-spectrum antibiotics.

   ANS: B
   Medications like corticosteroids, glycosides, hormones, and antihypertensives can potentially trigger depression.
   DIF: Cognitive Level: Application REF: 203 OBJ: 2
   TOP: Depression KEY: Nursing Process Step: Evaluation
   MSC: NCLEX: Physiological Integrity: Pharmacological Therapies