Chapter 22 Self-Concept and Sexuality

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Chapter 22  Self-Concept and Sexuality

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Kate is caring for Nancy, a 34-year-old abused woman, who was admitted to the hospital with multiple rib fractures that she received from her partner. Nancy states, “I don’t blame Mike for what he did to me; I can be so stupid sometimes.” Kate recognizes this statement as a manifestation of which of the following?
A.
Body image disturbance
B.
Low self-esteem
C.
Cultural differences
D.
Sexual orientation

ANS: B
Self-concept is your view of who you are. It is a combination of unconscious and conscious thoughts, attitudes, and perceptions. Self-concept, or how you think about yourself, directly affects your self-esteem, or how you feel about yourself.

PTS: 1 DIF: Cognitive Level: Analysis REF: 603
OBJ: Discuss ways in which your self-concept and nursing actions affect your patient’s self-concept and self-esteem TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

2. Lilly is a 66-year-old patient who has been admitted to the hospital for a stroke. Her health care provider has told her that she should consider retiring from her high-stress position as a hospital administrator. Lilly is distraught over this suggestion. The nurse caring for her recognizes the most likely cause of distress is due to:
A.
body image.
B.
role performance.
C.
self-esteem.
D.
self evaluation.

ANS: B
Role performance is the way in which a person views his or her ability to carry out significant roles. Common roles include mother or father, wife or husband, daughter or son, sister or brother, employee or employer, and nurse or patient.

PTS: 1 DIF: Cognitive Level: Analysis REF: 603
OBJ: Discuss factors that influence the following components of self-concept: identity, body image, and role performance TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

3. Frank is a nurse who works at a pediatric clinic. Elliott is a 16-year-old patient who is in the clinic for his annual check-up. During the assessment, Frank asks Elliott about his use of tobacco. Although he denies smoking, he tells Frank that he dips snuff. He tells him that he started last year because all his friends do it. Frank recognized this as a stressor of:
A.
body image.
B.
identity.
C.
role performance.
D.
sexuality.

ANS: B
An adolescent who wants to be identified as part of the popular crowd at school develops a poor self-concept if not included in that group. Family and cultural factors sometimes influence negative health practices, such as cigarette smoking.

PTS: 1 DIF: Cognitive Level: Application REF: 600
OBJ: Discuss factors that influence the following components of self-concept: identity, body image, and role performance TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

4. Robert is a 47-year-old patient who has recently undergone surgery to remove a tumor from his colon. As a result of his surgery he has a colostomy. Robert’s nurse is planning his care and would like to incorporate measures to support the adaptation to stress. Which of the following is least likely to support Robert’s adaptation to stress?
A.
Adequate sleep
B.
Regular exercise
C.
Appropriate nutrition
D.
Beginning smoking cessation classes

ANS: D
Measures that support adaptation to stress, such as proper nutrition, regular exercise within the patient’s capabilities, adequate sleep and rest, and stress reducing practices contribute to a healthy self-concept.

PTS: 1 DIF: Cognitive Level: Analysis REF: 614
OBJ: Discuss ways in which your self-concept and nursing actions affect your patient’s self-concept and self-esteem TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

5. A 35-year-old new mother returned to the clinic for her 6 week postpartum check. As the nurse, you plan to discuss any questions that she might have regarding her sexual health. When is the best time to initiate this discussion?
A.
As soon as the health care provider completes her pelvic exam
B.
As the patient is preparing for the examination
C.
After the examination is over and the patient is dressed
D.
In the waiting area

ANS: C
Exploring a person’s sexuality and providing useful sex education require good communication skills. Make sure the environment and timing provide privacy, uninterrupted time, and patient comfort.

PTS: 1 DIF: Cognitive Level: Application REF: 614
OBJ: Discuss your role in maintaining or enhancing a patient’s sexual health
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment

 

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