SHORT ANSWER
1.Sample answer:
Nurses interacting with older adults need to take
simple measures such as addressing older patients
respectfully, communicating that you take their
concerns seriously, noticing and affirming their
personal strengths, and interacting with them as
individuals.
2.Answers will vary with student’s experiences.
3.Sample answers:
a.Significance: Do you feel loved and appreciated
by the key people in your life?
b.Competence: Does anything interfere with your
ability to do your life work?
c. Virtue: How would you describe your ability to
follow your moral code?
d.Power: Do you feel you are in control of your
life?
4.Sample answers:
a.Developmental considerations: A teenager
needs to be trusted and guided to make good
choices that affect his/her life.
b.Culture: As a child internalizes the values of
parents and peers, culture begins to influence
his/her sense of self.
c. Internal and external resources: The amount of
money a person earns may influence his/her
self-concept.
d.History of success or failure: A child who
repeatedly fails in school may have difficulty
succeeding in life.
e.Stressors: Self-concept determines the way a
person perceives stressors in his/her life and
reacts to them.
f. Aging, illness, or trauma: A paralyzing injury
will most likely affect self-concept.
5.Sample answers:
a.Dispel the myth that it is necessary to know all
there is to know about nursing to be a good
nurse: Nurses must accept the fact that they
must constantly learn new theories and proce-
dures to keep up with medicine.
b.Realistically evaluate strengths and weaknesses:
A periodic review of a nurse’s skills, strengths,
and weaknesses should be built into the
practice.
c. Accentuate the positive: Nurses should not
dwell on one mistake they may have made but
should recall what they did right and learn
from their mistakes.
d.Develop a conscious plan for changing
weaknesses into strengths: If a nurse has weak
technical skills in one area, he/she should focus
on this area and strengthen his/her knowledge
and competency through research, study, and
practice.
e.Work to develop team self-esteem: Congratulate
colleagues and celebrate when the nursing team
is successful.f. Actively demonstrate your commitment to
nursing and concern about the nursing profes-
sion’s public image: Nurses should be aware of
their impact on society, and the image they
project should be positive.
6.Answers will vary with student’s experiences.
7.Sample answers:
a.Personal identity: How would you describe
yourself to others?
b.Patient strengths: What special talents and abil-
ities do you have?
c. Body image: What are your positive physical
attributes?
d.Self-esteem: What do you like most about your-
self?
e.Role performance: What major roles describe
you?
8.Sample answers:
a.Diagnosis: Anxiety related to unwelcome
change in body image (mastectomy)
Patient goal: Patient will express satisfaction
with ability to live with altered body image.
b.Diagnosis: Anxiety related to inability to accept
or manage new role
Patient goal: Patient reports feeling less anxious
about being pregnant.
c. Diagnosis: Altered Health Maintenance related
to low self-esteem and inability to cope with
grief
Patient goal: Patient will acknowledge his own
self-worth and express a desire to take care of
himself despite his grief.
d.Diagnosis: Knowledge Deficit: how to help
child develop self-esteem, related to lack of
experience with parenting
Patient goal: Patient will describe methods of
developing self-esteem in children.
e.Diagnosis: High Risk for Violence, domestic
abuse, related to low self-esteem and sense of
hopelessness
Patient goal: Patient will verbalize that she is
liked and deserves to live without fear of abuse.
f. Diagnosis: Altered Sexuality Patterns related to
changed body image, disturbance in self-
concept
Patient goal: Patient will describe self
realistically, identifying strengths that make her
desirable to husband- a.Encourage patients to identify their strengths.
b.Notice and reinforce patient strengths.
c. Encourage patients to will for themselves the
strengths they desire and to try them on. - a.Using looks, touch, and speech to communicate
worth
b.Speaking respectfully to the patient and
addressing the patient by preferred name
c. Moving the patient’s body respectfully if the
patient cannot move on his/her own
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:410 ANSWER KEY
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