Basic Geriatric Nursing 5th Edition By Gloria Hoffman Wold – Test Bank

Chapter 11: Self-Perception and Self-Concept

Test Bank

MULTIPLE CHOICE

1. The nurse cautions a group of older adults that the greatest damage to self-worth is measuring self against:
a. internal ideals.
b. individual values.
c. external standards.
d. expressions of positive feedback.

ANS: C
The use of external standards rather than internal values is an inadequate platform for self-worth. The use of positive feedback and internal individual values supports a positive perception of self-worth.
DIF: Cognitive Level: Comprehension REF: 200 OBJ: 1
TOP: Self-Worth KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

2. The nurse is aware that a positive self-perception is largely dependent on the:
a. ability to control life’s choices.
b. financial success attained in life.
c. family relationships.
d. degree of wellness.

ANS: A
Being in control of life’s choices increases and maintains a positive self-perception.
DIF: Cognitive Level: Comprehension REF: 201 OBJ: 1
TOP: Self-Perception KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

3. The nurse recognizes that a major indicator of a positive self-image in an older adult living in a long-term care facility is:
a. feeding self independently.
b. maintaining urinary continence.
c. having family visitors every week.
d. neat grooming and wearing fresh clothing.

ANS: D
Neat grooming and care in personal appearance are cardinal indicators of a positive self-image.
DIF: Cognitive Level: Application REF: 201 OBJ: 1
TOP: Self-Image KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

4. The nurse explains that older adults often resort to cosmetic surgery to maintain the appearance of youth and self-worth because the concept of ageism has painted old age as:
a. an inactive population of self-indulgent persons.
b. a group that has opted to isolate themselves.
c. physically inept and nonproductive.
d. an antisocial but active group.

ANS: C
Ageism has defined the older adult as physically inept, nonproductive, and essentially unattractive.
DIF: Cognitive Level: Comprehension REF: 202 OBJ: 1
TOP: Ageism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

5. The long-term care facility nurse sees evidence that the most devastating blow to the self-concept of the older adult is institutional placement because persons in a long-term care facility:
a. are perceived as a single group.
b. have individual needs that are not met.
c. have lost many belongings that made up their identity.
d. have lost social contact.

ANS: C
The losses of home, spouse, car, and independence in making choices are devastating blows to someone’s self-image, even if he or she has social contacts and individual needs are met.
DIF: Cognitive Level: Application REF: 202 OBJ: 2
TOP: Institutionalization KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

6. The nurse explains that the loss of emotional support of loved ones through death or separation makes the older adult feel:
a. unloved and unlovable.
b. angry with the isolation.
c. unworthy for attention.
d. determined to be his or her own support.

ANS: A
Without an emotional support system, the older adult comes to feel unloved and unlovable.
DIF: Cognitive Level: Analysis REF: 203 OBJ: 2
TOP: Emotional Support KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

7. The nurse explains that long-term care facility placement for the older adult usually makes the older adult feel a sense of:
a. rejection.
b. safety.
c. making a fresh start.
d. immediate assistance at hand.

ANS: A
Placement equals rejection in the minds of many older adults, even if the placement was unavoidable and necessary.
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 help the older adult make an easier transition to relocation, the family should:
a. send cards or gifts instead of personal visits.
b. visit and call often to remind the resident that she or he is cared for.
c. limit contact for several weeks to encourage independence.
d. communicate with the long-term facility’s staff to inquire about the resident’s well-being.

ANS: B
Frequent visits and calls by family and friends help maintain self-esteem and self-worth in the newly admitted resident.
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. The nurse takes into consideration that depression affects almost 50% of older adults who:
a. live at home with a spouse.
b. live alone.
c. live in a long-term care facility.
d. are hospitalized.

ANS: D
Studies show that 46% of older adults who are hospitalized have symptoms of depression.
DIF: Cognitive Level: Comprehension REF: 203 OBJ: 4
TOP: Depression KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
10. The nurse in a long-term care facility notes signs of depression in a resident who is ordinarily positive. The nurse suspects this new affective change is related to the initiation of a drug protocol of:
a. erythropoietin.
b. corticosteroids.
c. calcium replacement.
d. broad-spectrum antibiotics.

ANS: B
Depression can be caused by the initiation of drugs such as corticosteroids, glycosides, hormones, and antihypertensive agents.
DIF: Cognitive Level: Application REF: 203 OBJ: 2
TOP: Depression KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies