RN Self-Concept Assessment 2.0

A nurse is meeting with a client who is recovering from a bilateral mastectomy. Since being discharged, the client has changed dressings as prescribed and completed arm exercises. The client tells the nurse, "I'm pleased with my postoperative progress." The nurse should identify that the client is displaying which of the following self-concept characteristics?

A. Self-efficacy

B. Emotional intelligence

C. Self-awareness

D. Generativity

A. Self-efficacy

Clients who have a higher level of self-efficacy are more effective in the self-management of various health conditions, are more confident when dealing with stressful situations, and engage in behaviors to preserve or restore health.

A nurse is meeting with a client at a community health center to assess their self-concept. Which of the following factors should the nurse consider during the assessment? (Select all that apply.)

A. Life experiences

B. Societal and cultural attitudes

C. Health status

D. Academic achievement

E. Meditation

A. Life experiences

B. Societal and cultural attitudes

C. Health status

D. Academic achievement

Life experiences is correct. Self-concept is impacted by life experiences, cultural and societal attitudes, academic achievement, and health status.

Societal and cultural attitudes is correct. Self-concept is impacted by life experiences, cultural and societal attitudes, academic achievement, and health status.

Health status is correct. Self-concept is impacted by life experiences, cultural and societal attitudes, academic achievement, and health status.

Academic achievement is correct. Self-concept is impacted by life experiences, cultural and societal attitudes, academic achievement, and health status.

Meditation is incorrect. Meditation is considered a healthy coping strategy, not a factor of self-concept.

A nurse is caring for an adolescent client who plans to attend the same law school their parent attended and work at their parent's law firm upon graduation. The client has never questioned their academic and career pathway and states, "If it's good enough for my parent, it's good enough for me." The nurse should identify that which of the following identity statuses describes the client's position?

A. Identity achievement

B. Foreclosure

C. Identity diffusion

D. Moratorium

B. Foreclosure

Individuals whose identity status is foreclosure have adopted beliefs and values without question, which are often imposed upon them by authority figures. Their belief system is generally carried forward from childhood into adulthood without challenge.

A nurse is reviewing factors that can affect a client's self-concept. The nurse should identify that empathy, motivation, and self-awareness are domains of which of the following factors?

A. Emotional intelligence

B. Body image

C. Self-efficacy

D. Role performance

A. Emotional intelligence

The nurse should identify that social skill, self-awareness, self-regulation, motivation, and empathy are domains of emotional intelligence, which is a factor that can affect a client's self-concept.

A nurse is caring for a client who is 4 days postoperative following a below-the-knee amputation related to a work injury. The nurse should identify that which of the following are components of the client's self-concept that this injury can impact? (Select all that apply.)

A. Body image

B. Role performance

C. Identity

D. Health promotion

E. Self-esteem

A. Body image

B. Role performance

C. Identity

E. Self-esteem

Body image is correct. The four main components of self-concept include body image, self-esteem, role performance, and identity.

Role performance is correct. The four main components of self-concept include body image, self-esteem, role performance, and identity.

Identity is correct. The four main components of self-concept include body image, self-esteem, role performance, and identity.

Health promotion is incorrect. While health promotion is a focus of nursing interventions within the plan of care, it is not considered a component of self-concept.

Self-esteem is correct. The four main components of self-concept include body image, self-esteem, role performance, and identity.

A nurse is interviewing a client to assess their self-concept and asks, "What are some of the accomplishments that make you feel good about yourself?" The nurse is assessing which of the following components of self-concept?

A. Body image

B. Role performance

C. Self-esteem

D. Identity

C. Self-esteem

Self-esteem is an individual's generalized sense of self-worth and is measured by how much value a person places on themselves.

A nurse is assessing the self-concept of a client who recently lost their job and, as a result, might lose their home to foreclosure. Which of the following questions should the nurse ask the client when gathering information regarding self-concept?

A. "What did your partner say when you lost your job?"

B. "Why do you think that you were fired?"

C. "How would you describe yourself and your situation?"

D. "What are you going to tell your friends about losing your job?"

C. "How would you describe yourself and your situation?"

By asking the client to describe their self and their situation, the nurse is assessing the client's identity, which can be a self-concept stressor.

A nurse is reviewing the plan of care for a client who was recently divorced. Which of the following interventions should the nurse include to promote the client's positive self-concept? (Select all that apply.)

A. Encourage the client to identify past and current accomplishments.

B. Contact delivery services to provide the client with in-home meals.

C. Encourage the client to verbalize perceptions that indicate a healthy self-esteem.

D. Assist the client to identify healthy coping strategies and support systems.

E. Collaborate with the client, family, and members of the health care team to ensure successful implementation of the plan of care.

A. Encourage the client to identify past and current accomplishments.

C. Encourage the client to verbalize perceptions that indicate a healthy self-esteem.

D. Assist the client to identify healthy coping strategies and support systems.

E. Collaborate with the client, family, and members of the health care team to ensure successful implementation of the plan of care.

Encourage the client to identify past and current accomplishments is correct. The plan of care is designed to prevent, promote, maintain, and restore mental and physical client health. One intervention that can promote a positive self-concept includes encouraging clients to identify past and current accomplishments. Interventions that promote a positive self-concept include encouraging clients to identify accomplishments, verbalize perceptions that indicate a positive self-concept, identify coping strategies, and identify support systems.

Contact delivery services to provide the client with in-home meals is incorrect. At-home delivery food service is not indicated.

Encourage the client to verbalize perceptions that indicate a healthy self-esteem is correct. The plan of care is designed to prevent, promote, maintain, and restore mental and physical client health. One intervention that can promote a positive self-concept includes encouraging the client to verbalize perceptions that indicate a healthy self-esteem.

Assist the client to identify healthy coping strategies and support systems is correct. The plan of care is designed to prevent, promote, maintain, and restore mental and physical client health. One intervention that can promote a positive self-concept includes assisting the client to identify healthy coping strategies and support systems.

Collaborate with the client, family, and members of the health care team to ensure successful implementation of the plan of care is correct. The plan of care is designed to prevent, promote, maintain, and restore mental and physical client health. One intervention that can promote a positive self-concept includes collaborating with the client, family, and members of the health care team to ensure successful implementation of the plan of care.

A nurse is caring for a client who reports enjoying retirement because they are reading more, visiting with children and grandchildren, and playing bridge with their friends. The nurse should identify that the client is experiencing which of the following stages of Erikson's theory of psychosocial development?

A. Trust vs. mistrust

B. Autonomy vs. shame and doubt

C. Identity vs. role confusion

D. Integrity vs. despair

D. Integrity vs. despair

Integrity is achieved when older adults reflect on life and feel a sense of fulfillment and accomplishment.

A nurse is meeting with a client who was recently diagnosed with rheumatoid arthritis. The client tells the nurse, "I'm never going to be able to do anything fun." Which of the following questions should the nurse ask to assess the client's identity?

A. "Can you describe one of your primary roles?"

B. "How do you respond when you feel you have failed?"

C. "What aspects of your body would you like to change?"

D. "How do others' opinions impact the way you see yourself?"

D. "How do others' opinions impact the way you see yourself?"

By asking the client how others' opinions impact the way they see themselves, the nurse is assessing the client's identity.