Question 15
Type: MCSA
During the assessment interview, the client is quiet and answers questions only minimally. What action should the
nurse take about the client’s reluctance to share information?
1. Document that the client is not cooperative.
2. Consider any cultural implications of these actions.
3. Assume that the client has something to hide.
4. Ask another nurse to sit in on the next interview attempt.
Question 16
Type: MCSA
Which characteristic of self-esteem will make it difficult for the nurse to plan interventions for a client?
1. Low motivation to improve
2. A focus on problems
3. Expressed disinterest in working on improvement
4. Not satisfied with personal situation
Question 17
Type: MCSA
The nurse is assisting a client in setting goals as a strategy to reinforce strengths. What intervention should the
nurse employ?
1. Encourage the client to set attainable goals, even if small.
2. Help the client choose a significant goal, even if it is time consuming.
3. Devise a set of goals from which the client can pick.
4. Advise the client to avoid goals that will require too much effort.
Question 18
Type: MCSA
The nurse and client had set the following expected outcome: “At the next clinic visit, the client will report
participation in three activities to increase self-esteem.” At today’s visit, the client is unable to meet the stated
outcome. What should be the nurse’s next action?
1. Explore the possible reasons for not meeting the outcome.
2. Reevaluate the accuracy of the outcome statement.
3. Collaborate with the client to write a new expected outcome.
4. Identify new interventions to help the client achieve the outcome.
Question 19
Type: MCSA
The spouse tells the nurse that the client is not making progress in developing a more positive self-esteem. What
should the nurse respond to the spouse?
1. “Most clients make quicker progress.”
2. “Self-esteem work takes time and is not easily evaluated.”
3. “What have you done to help the client with this work?”
4. “Do you think that the client is really trying?”
Question 20
Type: MCSA
The nurse is teaching a class for new parents about self-esteem development in infants. What information should
be included?
1. If the baby awakens at night, let him cry for a few minutes before responding.
2. Keep the baby on a 3-hour feeding schedule, even if it means awakening him.
3. Respond to the baby’s needs promptly and consistently.
4. Use firm, loving discipline with the baby from the beginning.
Question 21
Type: MCSA
The parents tell the nurse that their preschooler demands to wear specific clothing. They are concerned that the
day-care workers might think they are negligent because the preschooler often wears mismatched clothing. What
should be the nurse’s response to this concern?
1. “Don’t worry, day-care workers are accustomed to that sort of thing.”
2. “This is normal and the preschooler is just practicing skills needed later in life”
3. “I am glad you brought that to our attention. I will make a note for her pediatrician.”
4. “You should have better control of the child now if you have any hope of controlling the child during the
teenage years.”
Question 22
Type: MCSA
The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an
examination and has been barred from participating in a school trip as a consequence of that action. They ask for
the nurse’s professional opinion about the suitability of the punishment. Which answer best supports self-esteem
development in this adolescent?
1. “I think the punishment may be excessive. Have you talked with the school officials about the incident?”
2. “Because my expertise is in health, I really can’t respond to your question.”
3. “Honesty and respect for authorities is important. I am surprised that the punishment is not more extensive.”
4. “Living with the consequences of your actions is a way to help the adolescent develop good self-esteem.”
Question 23
Type: MCSA
The nurse working in a long-term care facility notices that one of the residents has had a recent decline in self-
esteem. What intervention would be appropriate for this resident?
1. Ask the resident for advice in setting up an activity in the dayroom.
2. Keep the resident too busy to dwell in the past.
3. Don’t allow the resident to talk about minor concerns.
4. Meet with the social worker to plan all of the client’s care.
Question 24
Type: MCMA
The nurse is planning to assess a client’s family relationships. What questions should the nurse ask to obtain this
information?
Standard Text: Select all that apply.
1. “How do you spend your free time?”
2. “What is your home like?”
3. “Who is most important to you?”
4. “How well do you feel you accomplish what is expected of you?”
5. “Whom do you seek out for help?”
Question 25
Type: MCSA
A client tells the nurse that her spouse expects the client to maintain the home and children as well as have a job
to help with household expenses. The client is demonstrating fatigue and inadequacy. The nurse identifies which
nursing diagnosis as appropriate for the client at this time?
1. Chronic Low Self-Esteem
2. Ineffective Role Performance
3. Disturbed Body Image
4. Parental Role Conflict
Question 26
Type: MCSA
A client recovering from a lumpectomy for breast cancer tells the nurse that she “feels ugly.” For which nursing
diagnosis should the nurse plan interventions?
1. Powerlessness
2. Social Isolation
3. Grieving
4. Hopelessness
Question 27
Type: MCMA
An adult client who has been a successful writer in the past has been experiencing low self-esteem over the last
year. Which behaviors indicate that the client is attempting to make positive changes?
Standard Text: Select all that apply.
1. The client joined a library book club.
2. The client counted the number of rejection letters she received from publishers.
3. The client states that she no longer reads Facebook to compare her life with her friends’ lives.
4. The client works with the local Wheels on Meals to deliver meals once a week to older community members.
5. The client shared a letter from a magazine publisher that is going to print her short story in the next edition.