A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?

Trust versus mistrust

Generativity versus stagnation

Integrity versus despair

Industry versus inferiority

Answer and Explanation

The Correct Answer is C

Choice A reason: Trust versus mistrust occurs in infancy (0–1 year), focusing on trust in caregivers. Failure leads to suspicion, not regret over life accomplishments. This stage is irrelevant to a 52-year-old’s reflections on life achievements, making this choice incorrect for the described crisis.

Choice B reason: Generativity versus stagnation (middle adulthood, 40–65 years) involves contributing to society versus feeling unproductive. While related, the woman’s regret over past accomplishments aligns more with reflecting on life’s meaning, typical of a later stage, making this choice less precise.

Choice C reason: Integrity versus despair (late adulthood, 65+ years, but relevant in late middle age) involves reflecting on life’s achievements. Failure leads to despair and regret, matching the woman’s statement about unaccomplished goals, making this the correct choice for her psychosocial crisis.

Choice D reason: Industry versus inferiority (6–12 years) focuses on competence in tasks. Failure leads to feelings of inadequacy in skills, not regret over life’s broader accomplishments. This stage is irrelevant to the woman’s current reflections, making this choice incorrect.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Administering medications addresses symptoms pharmacologically but is not a core cognitive behavioral therapy (CBT) intervention. CBT focuses on modifying thoughts and behaviors, not drug therapy, making this choice incorrect for the specified theoretical approach.

Choice B reason: CBT targets negative thought patterns to modify maladaptive behaviors and emotions, central to treating anxiety. Challenging distorted cognitions helps the patient reframe perceptions, reducing withdrawal, aligning with CBT principles, making this the correct choice.

Choice C reason: Group therapy encourages social interaction but is not a primary CBT intervention. CBT focuses on individual cognitive restructuring, not group dynamics, making this choice less relevant for the specified theoretical approach to anxiety treatment.

Choice D reason: Relaxation techniques are adjunctive in CBT but not the primary focus. Challenging negative thoughts is the core intervention, directly addressing cognitive distortions driving anxiety, making relaxation a secondary approach and this choice incorrect.

A. “You have to attend the session, or you won’t make progress.” B. “I’ll let your doctor know you’re refusing to participate.” C. “Can you share what’s making you hesitant about group therapy today?” D. “If you don’t go, you’ll miss out on important treatment.”

Correct Answer is C

Explanation

Choice A reason: Using coercive language, like stating attendance is mandatory for progress, undermines patient autonomy and may increase resistance, especially in a manic phase where defiance is common. This non-therapeutic approach hinders trust, making it incorrect for promoting engagement.

Choice B reason: Reporting refusal to the doctor without exploring the patient’s reasons dismisses their feelings and escalates authority rather than fostering collaboration. Therapeutic engagement requires understanding the patient’s perspective, making this response non-therapeutic and incorrect.

Choice C reason: Asking about the patient’s hesitation uses open-ended questioning, a therapeutic communication technique that encourages expression of feelings and builds trust. This aligns with psychiatric nursing principles to engage patients respectfully, especially during mania, making this the correct choice.

Choice D reason: Warning about missing treatment is mildly coercive and does not explore the patient’s reasons for refusal. It fails to address underlying concerns, such as anxiety or grandiosity, which are critical in mania, making this less therapeutic than exploring hesitancy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?

Correct Answer is B

Explanation

A nurse is caring for a patient with bipolar disorder who is in a manic phase and refuses to attend a scheduled group therapy session. Which response by the nurse best promotes therapeutic engagement?

Correct Answer is C

Explanation

An adult says, "I have no answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?

Which comments by a nurse demonstrate the use of therapeutic communication techniques? (Select all that apply)

Which tasks are safe and appropriate to be performed by a basic-level nurse for a patient suffering from mental illness?

Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

A nurse knows operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique should the nurse apply?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

In which situations would a nurse have the duty to intervene and report? (Select all that apply)