Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 39
Question 1
Type: MCSA
Which statement, made by the client, would indicate a “me-centered” self-concept?
1. “I couldn’t stand to disappoint my parents.”
2. “My sister is so much smarter than I am.”
3. “My future is based on the decisions I make today.”
4. “The world has always been against people like me.”
Question 2
Type: MCSA
The staff development instructor planning self-concept development classes for staff nurses is going to include
information to improve the nurses’ self-concept along with information to use with clients. Why is the
information for nurses important?
1. The nurse’s self-concept is more important than the client’s.
2. Poor self-concept is the number-one reason for nursing burnout.
3. Nurses with positive self-concept are better able to help clients.
4. Nurses with poor self-concept are more likely to make errors.
Question 3
Type: MCSA
The newly graduated nurse is working with a mentor who has been a nurse for 25 years. The mentor tells the new
graduate, “I learn something new about nursing every day.” What does this indicate about the mentor’s self-
awareness?
1. This nurse is not very self-aware.
2. The mentor’s self-awareness is behind normal development.
3. Because this mentor has been a nurse for so long, self-awareness is no longer an important issue.
4. Because self-awareness is never complete, this nurse is demonstrating desirable behavior.
Question 4
Type: MCSA
A nursing student has just received an evaluation that indicates difficulties with time management and
prioritization in the care of clients. How should the student react to this input?
1. Take the feedback seriously and use it to guide personal growth.
2. Blame the student–faculty relationship as the basis of the evaluation.
3. Dismiss the evaluation as invalid.
4. Consider the feedback carefully but not change practice patterns.
Question 5
Type: SEQ
The nurse is determining a client’s level of psychosocial development according to Erikson’s stages. Place the
developmental tasks in order according to Erikson’s stages of psychosocial development.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Expressing one’s own opinion
Choice 2. Guiding others
Choice 3. Asserting independence
Choice 4. Working well with others
Question 6
Type: MCSA
The adolescent male client who weighs 100 is considering taking “some herbal stuff” to increase muscle mass and
strength. The nurse should interpret this statement as an indication that this client has
1. a strong need for admiration.
2. serious problems with logical thinking.
3. incongruence between reality and ideal self.
4. the need for referral to a psychologist.
Question 7
Type: MCSA
During an assessment, the nurse notes that a client frequently refers to his Native American heritage. The nurse
determines that this heritage is a strong part of the client’s
1. personal identity.
2. body image.
3. role performance.
4. self-esteem.
Question 8
Type: MCSA
A client who has recently lost 75 pounds continues to dress in loose, baggy clothing and frequently talks about
being fat. The nurse realizes this finding most likely indicates
1. role confusion.
2. body image disturbance.
3. fear of success.
4. lack of education.
Question 9
Type: MCSA
A rare malignancy will require the amputation of an adolescent client’s leg. The client refuses the surgery, stating:
“I would rather die than have my leg amputated.” What information should the nurse use to plan future
interventions for this client?
1. The knowledge that adolescents are very concerned about body image
2. Concern about need for education regarding the danger of delaying surgery
3. The fact that the parents will have the ultimate decision about surgery
4. The ability of the adolescent to understand medical terminology
Question 10
Type: MCSA
Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem
due to role ambiguity?
1. “I don’t know if I know how to be a mom.”
2. “My husband will be a stay-at-home dad while I work.”
3. “I’m so disappointed that this baby is not a girl.”
4. “I haven’t even finished the baby’s room.”
Question 11
Type: MCMA
The nurse suspects that a client is having difficulty with specific self-esteem. Which client statements caused the
nurse to have this concern?
Standard Text: Select all that apply.
1. “I hate my hair.”
2. “Life is wonderful!”
3. “My hips are too big.”
4. “I wish I had that nose job 2 years ago.”
5. “It is awesome that I got that promotion at work.”
Question 12
Type: MCSA
Which nursing intervention would be helpful when caring for a client who has negative self-esteem?
1. Find a way to praise the client during each encounter.
2. Design a series of “small successes” for the client.
3. Correct the client when negativity arises.
4. Tell the client how much easier life would be with positive self-esteem.
Question 13
Type: MCSA
The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue,
tearfulness, and relationship difficulties. What action by the nurse would support accurate assessment?
1. Take detailed notes to record client responses.
2. Ask as many questions as possible to explore all areas of concern.
3. Start the interview by asking a series of yes/no questions.
4. Investigate the client’s culture prior to the interview.
Question 14
Type: MCSA
Which statement should the nurse make first when assessing a client’s self-concept?
1. “Describe yourself as a person.”
2. “Tell me about your family.”
3. “Describe what you do when you have free time.”
4. “Tell me about the work you do.”