Basic Geriatric Nursing 6th Edition By Patricia – Test Bank

Chapter 11: Self-Perception and Self-Concept
Test Bank

MULTIPLE CHOICE

1. What causes the greatest damage to self-worth?
a. Measuring self against internal ideals
b. Measuring self against individual values
c. Measuring self against external standards
d. Measuring self against 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: p. 200 OBJ: 1
TOP: Self-Worth KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

2. What would have the largest impact on maintaining a positive self-perception?
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: p. 201 OBJ: 1
TOP: Self-Perception KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

3. What would be considered the most important indicator of a positive self-image in an older adult living in a long-term care facility?
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: p. 201 OBJ: 2
TOP: Self-Image KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

4. How does the concept of ageism portray older adults?
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 defines the older adult as physically inept, nonproductive, and essentially unattractive.

DIF: Cognitive Level: Comprehension REF: p. 202 OBJ: 1
TOP: Ageism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

5. What would cause the most damage to the self-concept of an older adult who lives in a long-term care facility?
a. Being perceived as a single group rather than an individual
b. Having individual needs that are not met
c. Losing many personal belongings
d. Losing 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: p. 202 OBJ: 2
TOP: Institutionalization KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

6. An older adult has recently been placed in a long-term care facility. What would the nurse expect to see exhibited in the patient?
a. Feeling unloved and unlovable
b. Feeling angry with the isolation
c. Feeling unworthy for attention
d. Feeling 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: pp. 202-203 OBJ: 2
TOP: Emotional Support KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

7. What is a common feeling for an older adult who is placed in a long-term care facility?
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: p. 203 OBJ: 2
TOP: Long-Term Care Facility Placement
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

8. An older adult has recently moved to a long-term care facility. The family asks what can be done to ease the transition. What would be the most appropriate suggestion of the nurse?
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: p. 203 OBJ: 9
TOP: Long-Term Care Facility Placement
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

9. The nurse in a long-term care facility notes signs of depression in a resident who is ordinarily positive. What newly prescribed medication could contribute to the depression?
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: Comprehension REF: p. 203 OBJ: 7
TOP: Depression KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

10. What symptom could be an indicator of depression in an 80-year-old man?
a. Repetitive routines
b. Agitation and irritability
c. Constant talking
d. Seeking the company of family members

ANS: B
Irritability and agitation are signs of depression, as are cessation of routines, mood swings, social withdrawal, and unwillingness to talk.

DIF: Cognitive Level: Comprehension REF: p. 203 OBJ: 4
TOP: Signs of Depression KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation