Which of the following client statements would indicate self-efficacy?
"I like to get several opinions before deciding on a course of action."
"I know if I can learn to relax, I will feel better.”
"No matter how hard I try to relax, something always comes up.”
"I'm never sure if I'm making the right decision."
The Correct Answer is B
Choice A reason: Seeking multiple opinions before making decisions reflects a thoughtful and cautious approach, but it does not necessarily indicate self-efficacy. Self-efficacy is the belief in one’s ability to execute behaviors necessary to produce specific performance outcomes. This statement shows deliberation, not confidence in personal ability.
Choice B reason: This statement reflects self-efficacy because the client expresses belief in their ability to learn a skill (relaxation) and achieve a desired outcome (feeling better). It demonstrates internal locus of control and confidence in personal capability, which are core components of self-efficacy.
Choice C reason: This statement reflects frustration and a sense of helplessness. The client implies that external circumstances prevent success, which undermines self-efficacy. It suggests a lack of belief in the ability to overcome obstacles.
Choice D reason: Expressing uncertainty about decision-making reflects low self-confidence and doubt in personal judgment. This is inconsistent with self-efficacy, which involves trust in one’s ability to make and act on decisions effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: "Absent affect" is not a standard clinical term used in psychiatric documentation. It may be confused with flat affect but lacks specificity and is not recognized in diagnostic criteria.
Choice B reason: Restricted affect refers to a limited range of emotional expression, but not a complete absence. The client may show some emotion, albeit minimal. In this case, the client shows no facial expression at all, which exceeds the definition of restricted affect.
Choice C reason: Flat affect is characterized by a complete or near-complete absence of emotional expression, including facial movements, voice tone, and gestures. The client’s lack of facial expression during a social activity strongly suggests flat affect, which is commonly seen in schizophrenia and severe depression.
Choice D reason: Broad affect indicates a full range of emotional expression, which is clearly not present in this scenario. The client’s behavior is the opposite of broad affect.
Correct Answer is C
Explanation
Choice A reason: Ideas of reference involve misinterpreting neutral events as having personal significance. Believing that others are plotting against them goes beyond this and reflects a fixed false belief.
Choice B reason: Hallucinations are false sensory perceptions, such as hearing voices or seeing things that are not present. The client’s belief is cognitive, not sensory, so hallucination is not applicable.
Choice C reason: Delusions are fixed false beliefs that are not based in reality and are resistant to evidence. Paranoid delusions involve beliefs of persecution, such as thinking others are out to get them. This is the most accurate classification.
Choice D reason: Loose associations refer to disorganized speech where ideas are poorly connected. The client’s statement is coherent and focused on a specific belief, not disorganized thought flow.
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